Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $18.62 / $36.31	Facility		$8.91	$18.62	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $9.33 / $18.62	Professional		$7.94	$9.33	$18.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $14.13 / $14.79	Professional		$12.59	$14.13	$14.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $151.36 / $323.59	Facility		$54.95	$151.36	$323.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $18.20 / $22.91	Professional		$12.30	$18.20	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $13.80 / $20.42	Professional		$8.32	$13.80	$20.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $33.88 / $97.72	Professional		$12.02	$33.88	$97.72
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 $11.75 / $12.02 / $12.88	Professional		$11.75	$12.02	$12.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $8.91 / $16.60	Facility		$6.61	$8.91	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $12.02 / $19.05	Professional		$8.71	$12.02	$19.05