Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $15.76 / $34.49	Facility		$9.27	$15.76	$34.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $9.50 / $14.82	Professional		$8.61	$9.50	$14.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $13.14 / $13.24	Professional		$8.27	$13.14	$13.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.26 / $157.97 / $350.58	Facility		$74.26	$157.97	$350.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $18.32 / $22.72	Professional		$12.28	$18.32	$22.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $13.42 / $20.64	Professional		$8.24	$13.42	$20.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.77 / $17.17 / $86.06	Professional		$11.77	$17.17	$86.06
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 $11.77 / $12.06 / $12.75	Professional		$11.77	$12.06	$12.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $32.34 / $32.34	Professional		$12.99	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $13.00 / $21.73	Professional		$9.64	$13.00	$21.73