Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.06 / $63.04 / $114.80	Facility		$25.06	$63.04	$114.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.46 / $14.22 / $33.88	Professional		$10.46	$14.22	$33.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $8.27 / $8.27	Professional		$8.27	$8.27	$8.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.14 / $43.91 / $209.75	Facility		$23.14	$43.91	$209.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $12.73 / $16.53	Professional		$3.50	$12.73	$16.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.24 / $39.52 / $75.94	Facility		$13.24	$39.52	$75.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.58 / $19.00 / $25.30	Professional		$8.58	$19.00	$25.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.36 / $25.99 / $61.51	Professional		$17.36	$25.99	$61.51
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 $21.49 / $21.49 / $21.49	Professional		$21.49	$21.49	$21.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $11.34 / $20.66	Professional		$8.24	$11.34	$20.66
United Facility/Professional Professional Modifier Low / Median / High Price $9.92 / $13.41 / $17.54	Professional		$9.92	$13.41	$17.54