Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.63 / $72.50 / $494.42	Facility		$16.63	$72.50	$494.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $10.87 / $21.40	Professional		$8.61	$10.87	$21.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $7.95 / $7.95	Professional		$7.95	$7.95	$7.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.55 / $38.40 / $136.27	Facility		$18.55	$38.40	$136.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $9.14 / $10.19	Professional		$3.50	$9.14	$10.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.92 / $31.68 / $61.05	Facility		$12.92	$31.68	$61.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $16.11 / $20.14	Professional		$7.83	$16.11	$20.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $23.21 / $197.28	Professional		$13.91	$23.21	$197.28
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 $17.23 / $17.23 / $17.23	Professional		$17.23	$17.23	$17.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.63 / $8.24 / $16.55	Professional		$6.63	$8.24	$16.55
United Facility/Professional Professional Modifier Low / Median / High Price $5.57 / $8.44 / $14.01	Professional		$5.57	$8.44	$14.01