Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.82 / $71.81 / $125.60	Facility		$17.82	$71.81	$125.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.87 / $18.97	Professional		$10.19	$10.87	$18.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $16.00 / $16.00	Professional		$8.28	$16.00	$16.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.34 / $38.40 / $141.99	Facility		$19.34	$38.40	$141.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $9.53 / $10.64	Professional		$3.50	$9.53	$10.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.24 / $33.04 / $64.03	Facility		$13.24	$33.04	$64.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $16.93 / $21.16	Professional		$7.83	$16.93	$21.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $23.46 / $127.81	Professional		$14.51	$23.46	$127.81
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 $17.97 / $17.97 / $17.97	Professional		$17.97	$17.97	$17.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $9.48 / $17.28	Professional		$6.91	$9.48	$17.28
United Facility/Professional Professional Modifier Low / Median / High Price $5.80 / $8.98 / $14.23	Professional		$5.80	$8.98	$14.23