Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.71 / $138.94 / $540.61	Facility		$13.71	$138.94	$540.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $6.74 / $9.89	Professional		$4.07	$6.74	$9.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $4.23 / $11.00	Professional		$4.23	$4.23	$11.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.64 / $45.04 / $161.33	Facility		$13.64	$45.04	$161.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $6.51 / $8.46	Professional		$3.50	$6.51	$8.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.84 / $20.48 / $38.72	Facility		$8.84	$20.48	$38.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $10.33 / $12.91	Professional		$6.08	$10.33	$12.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $15.13 / $120.00	Professional		$8.88	$15.13	$120.00
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 $11.00 / $11.00 / $11.00	Professional		$11.00	$11.00	$11.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $5.80 / $10.58	Professional		$4.23	$5.80	$10.58
United Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $5.39 / $8.71	Professional		$3.55	$5.39	$8.71