Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.26 / $75.62 / $168.32	Facility		$17.26	$75.62	$168.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $12.84 / $14.38	Professional		$9.35	$12.84	$14.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $17.26 / $19.41	Professional		$3.88	$17.26	$19.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.08 / $46.65 / $201.62	Facility		$21.08	$46.65	$201.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $11.07 / $14.38	Professional		$3.50	$11.07	$14.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.02 / $34.97 / $65.52	Facility		$15.02	$34.97	$65.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.39 / $17.35 / $22.01	Professional		$9.39	$17.35	$22.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.10 / $26.03 / $178.11	Professional		$15.10	$26.03	$178.11
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 $18.69 / $18.69 / $18.69	Professional		$18.69	$18.69	$18.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $9.86 / $17.98	Professional		$7.19	$9.86	$17.98
United Facility/Professional Facility Modifier Low / Median / High Price $24.12 / $24.12 / $24.12	Facility		$24.12	$24.12	$24.12
United Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $9.16 / $20.10	Professional		$6.04	$9.16	$20.10