Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.48 / $76.16 / $172.33	Facility		$14.48	$76.16	$172.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.06 / $7.71 / $15.42	Professional		$6.06	$7.71	$15.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.33 / $10.38 / $12.98	Professional		$4.33	$10.38	$12.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.87 / $37.22 / $89.52	Facility		$14.87	$37.22	$89.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $5.97 / $6.66	Professional		$3.50	$5.97	$6.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.03 / $21.15 / $40.20	Facility		$9.03	$21.15	$40.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.65 / $10.74 / $13.43	Professional		$5.65	$10.74	$13.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $16.00 / $100.00	Professional		$9.08	$16.00	$100.00
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $11.25 / $11.25	Professional		$11.25	$11.25	$11.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.33 / $5.93 / $10.81	Professional		$4.33	$5.93	$10.81
United Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $5.30 / $8.65	Professional		$3.63	$5.30	$8.65