Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.23 / $60.36 / $272.41	Facility		$13.23	$60.36	$272.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $15.40 / $52.67	Professional		$12.89	$15.40	$52.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.81 / $20.07 / $26.83	Professional		$14.81	$20.07	$26.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.86 / $42.01 / $65.56	Facility		$20.86	$42.01	$65.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.46 / $21.45 / $22.27	Professional		$17.46	$21.45	$22.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.71 / $17.71 / $17.71	Facility		$17.71	$17.71	$17.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $13.99 / $20.39	Professional		$13.99	$13.99	$20.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $19.98 / $54.00	Professional		$13.99	$19.98	$54.00
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 $19.10 / $19.14 / $20.46	Professional		$19.10	$19.14	$20.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.62 / $32.34 / $32.34	Professional		$20.62	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $14.29 / $19.69 / $32.81	Professional		$14.29	$19.69	$32.81