Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.12 / $23.61 / $10,494.90	Facility		$13.12	$23.61	$10,494.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $13.49 / $6,012.24	Professional		$13.12	$13.49	$6,012.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.74 / $15.74 / $15.74	Professional		$15.74	$15.74	$15.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.85 / $136.99 / $347.77	Facility		$47.85	$136.99	$347.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.10 / $17.00 / $18.18	Professional		$16.10	$17.00	$18.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Facility		$13.49	$13.49	$13.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $17.57	Professional		$13.49	$13.49	$17.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $29.69 / $73.62	Professional		$13.49	$29.69	$73.62
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 $17.54 / $17.54 / $17.54	Professional		$17.54	$17.54	$17.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.58 / $19.01 / $20.37	Professional		$13.58	$19.01	$20.37
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $14.30 / $16.86	Professional		$13.49	$14.30	$16.86