Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.81 / $26.33 / $92.52	Facility		$11.81	$26.33	$92.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $10.28 / $13.26	Professional		$8.52	$10.28	$13.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $6.92 / $13.84	Professional		$5.77	$6.92	$13.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.71 / $35.67 / $121.21	Facility		$16.71	$35.67	$121.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $7.96 / $8.88	Professional		$3.50	$7.96	$8.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $28.14 / $53.61	Facility		$12.05	$28.14	$53.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.53 / $14.04 / $17.61	Professional		$7.53	$14.04	$17.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.11 / $22.29 / $113.75	Professional		$12.11	$22.29	$113.75
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 $14.99 / $14.99 / $14.99	Professional		$14.99	$14.99	$14.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $7.89 / $14.41	Professional		$5.77	$7.89	$14.41
United Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $8.64 / $14.01	Professional		$4.84	$8.64	$14.01