Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $81.28 / $144.54	Facility		$13.18	$81.28	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $9.77 / $31.62	Professional		$5.01	$9.77	$31.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.47 / $10.23	Professional		$3.63	$4.47	$10.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $21.88 / $97.72	Facility		$11.75	$21.88	$97.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $6.61 / $8.71	Professional		$3.47	$6.61	$8.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $17.38 / $39.81	Facility		$5.62	$17.38	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $9.55 / $12.88	Professional		$4.68	$9.55	$12.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $15.14 / $42.66	Professional		$9.55	$15.14	$42.66
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 $11.22 / $11.22 / $11.22	Professional		$11.22	$11.22	$11.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.51 / $3.02	Professional		$1.29	$1.51	$3.02
United Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $8.71 / $17.38	Facility		$4.68	$8.71	$17.38
United Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.50 / $9.12	Professional		$5.13	$5.50	$9.12