Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.96 / $38.70 / $108.08	Facility		$22.96	$38.70	$108.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.84 / $16.05 / $22.60	Professional		$13.84	$16.05	$22.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $10.79 / $10.79	Professional		$10.79	$10.79	$10.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.07 / $57.63 / $188.91	Facility		$26.07	$57.63	$188.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $12.41 / $13.84	Professional		$3.50	$12.41	$13.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.79 / $44.17 / $83.39	Facility		$18.79	$44.17	$83.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.74 / $21.89 / $27.61	Professional		$11.74	$21.89	$27.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $31.47 / $115.63	Professional		$18.34	$31.47	$115.63
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 $23.37 / $23.37 / $23.37	Professional		$23.37	$23.37	$23.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $12.33 / $22.48	Professional		$8.99	$12.33	$22.48
United Facility/Professional Professional Modifier Low / Median / High Price $7.55 / $11.45 / $17.98	Professional		$7.55	$11.45	$17.98