Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.80 / $93.81 / $192.92	Facility		$15.80	$93.81	$192.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $9.00 / $12.06	Professional		$7.75	$9.00	$12.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $6.20 / $15.50	Professional		$2.79	$6.20	$15.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.76 / $44.22 / $106.94	Facility		$17.76	$44.22	$106.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $7.13 / $7.95	Professional		$3.50	$7.13	$7.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.80 / $25.34 / $47.65	Facility		$10.80	$25.34	$47.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $12.39 / $15.49	Professional		$6.75	$12.39	$15.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $19.78 / $95.34	Professional		$10.85	$19.78	$95.34
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 $13.43 / $13.43 / $13.43	Professional		$13.43	$13.43	$13.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.17 / $7.08 / $12.91	Professional		$5.17	$7.08	$12.91
United Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $6.33 / $10.64	Professional		$4.34	$6.33	$10.64