Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.60 / $367.39 / $904.20	Facility		$33.60	$367.39	$904.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $17.39 / $66.42	Professional		$10.34	$17.39	$66.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.72 / $11.66 / $14.31	Professional		$9.72	$11.66	$14.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.40 / $65.86 / $161.29	Facility		$38.40	$65.86	$161.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.47 / $13.50 / $16.14	Professional		$11.47	$13.50	$16.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.39 / $13.39 / $13.39	Facility		$13.39	$13.39	$13.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $15.70 / $22.11	Professional		$11.12	$15.70	$22.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.01 / $16.71 / $59.72	Professional		$12.01	$16.71	$59.72
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 $13.96 / $14.20 / $16.32	Professional		$13.96	$14.20	$16.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.07 / $32.34 / $32.34	Professional		$17.07	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $9.83 / $13.93 / $21.99	Professional		$9.83	$13.93	$21.99