Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.99 / $34.74 / $196.04	Facility		$13.99	$34.74	$196.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $10.31 / $11.05	Professional		$7.79	$10.31	$11.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $7.19 / $7.19	Professional		$7.19	$7.19	$7.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.37 / $38.40 / $125.85	Facility		$17.37	$38.40	$125.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $8.27 / $9.22	Professional		$3.50	$8.27	$9.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.52 / $29.00 / $55.10	Facility		$12.52	$29.00	$55.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $13.77 / $18.07	Professional		$7.83	$13.77	$18.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $20.97 / $158.51	Professional		$12.22	$20.97	$158.51
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 $15.57 / $15.57 / $15.57	Professional		$15.57	$15.57	$15.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $8.22 / $12.57	Professional		$5.99	$8.22	$12.57
United Facility/Professional Professional Modifier Low / Median / High Price $5.03 / $9.22 / $14.30	Professional		$5.03	$9.22	$14.30