Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.28 / $30.56 / $51.19	Facility		$15.28	$30.56	$51.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.68 / $12.59 / $16.03	Professional		$9.68	$12.59	$16.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $11.18 / $11.18	Professional		$11.18	$11.18	$11.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.60 / $76.91 / $271.64	Facility		$24.60	$76.91	$271.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $14.35 / $14.35	Professional		$3.50	$14.35	$14.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.03 / $44.60 / $86.37	Facility		$13.03	$44.60	$86.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.56 / $21.48 / $27.27	Professional		$8.56	$21.48	$27.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $32.61 / $294.17	Professional		$19.57	$32.61	$294.17
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 $24.23 / $24.23 / $24.23	Professional		$24.23	$24.23	$24.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.32 / $12.79 / $23.30	Professional		$9.32	$12.79	$23.30
United Facility/Professional Facility Modifier Low / Median / High Price $18.64 / $19.57 / $46.04	Facility		$18.64	$19.57	$46.04
United Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $11.18 / $18.64	Professional		$7.83	$11.18	$18.64