Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.84 / $27.53 / $238.55	Facility		$13.84	$27.53	$238.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.48 / $10.74 / $16.89	Professional		$9.48	$10.74	$16.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.39 / $14.00 / $14.00	Professional		$7.39	$14.00	$14.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $45.60 / $149.44	Facility		$20.05	$45.60	$149.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $9.48 / $12.31	Professional		$3.50	$9.48	$12.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $29.86 / $56.58	Facility		$12.59	$29.86	$56.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $17.10 / $89.15	Professional		$8.76	$17.10	$89.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.93 / $21.54 / $190.21	Professional		$12.93	$21.54	$190.21
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 $16.00 / $16.00 / $16.00	Professional		$16.00	$16.00	$16.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.16 / $8.44 / $15.39	Professional		$6.16	$8.44	$15.39
United Facility/Professional Facility Modifier Low / Median / High Price $12.31 / $12.93 / $30.41	Facility		$12.31	$12.93	$30.41
United Facility/Professional Professional Modifier Low / Median / High Price $7.39 / $9.85 / $14.77	Professional		$7.39	$9.85	$14.77