Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.72 / $143.07 / $380.68	Facility		$11.72	$143.07	$380.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $6.97 / $12.69	Professional		$6.08	$6.97	$12.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.21 / $10.42 / $11.72	Professional		$5.21	$10.42	$11.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.72 / $26.90 / $121.64	Facility		$13.72	$26.90	$121.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $6.68 / $8.68	Professional		$3.50	$6.68	$8.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.07 / $21.33 / $40.20	Facility		$9.07	$21.33	$40.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.67 / $10.74 / $13.43	Professional		$5.67	$10.74	$13.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $16.60 / $161.99	Professional		$9.11	$16.60	$161.99
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 $11.28 / $11.28 / $11.28	Professional		$11.28	$11.28	$11.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $5.95 / $10.85	Professional		$4.34	$5.95	$10.85
United Facility/Professional Professional Modifier Low / Median / High Price $3.65 / $5.21 / $10.14	Professional		$3.65	$5.21	$10.14