Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $48.98 / $97.72	Facility		$14.13	$48.98	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $20.89 / $52.48	Professional		$13.80	$20.89	$52.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $12.88 / $33.88	Professional		$10.72	$12.88	$33.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $95.50 / $181.97	Facility		$57.54	$95.50	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Facility		$14.79	$14.79	$14.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $25.12 / $199.53	Professional		$14.45	$25.12	$199.53
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 $17.38 / $17.78 / $19.05	Professional		$17.38	$17.78	$19.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $17.38	Professional		$16.98	$16.98	$17.38
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $26.30 / $26.30	Facility		$19.05	$26.30	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.22 / $16.60	Professional		$13.49	$16.22	$16.60