Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.72 / $44.75 / $761.05	Facility		$12.72	$44.75	$761.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $8.14 / $10.83	Professional		$5.00	$8.14	$10.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.55 / $5.55 / $5.55	Professional		$5.55	$5.55	$5.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.97 / $48.79 / $98.91	Facility		$14.97	$48.79	$98.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $7.00 / $10.00	Professional		$5.00	$7.00	$10.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.88 / $20.20 / $50.63	Facility		$4.88	$20.20	$50.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $11.63 / $14.54	Professional		$2.63	$11.63	$14.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.09 / $16.21 / $25.85	Professional		$11.09	$16.21	$25.85
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 $14.42 / $14.42 / $14.42	Professional		$14.42	$14.42	$14.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.55 / $7.43 / $11.09	Professional		$5.55	$7.43	$11.09
United Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $3.00 / $8.86	Professional		$2.10	$3.00	$8.86