Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.71 / $90.09 / $139.87	Facility		$14.71	$90.09	$139.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $6.37 / $17.00	Professional		$4.30	$6.37	$17.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $8.42 / $12.92	Professional		$4.30	$8.42	$12.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.56 / $31.95 / $97.78	Facility		$12.56	$31.95	$97.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $6.63 / $8.61	Professional		$3.50	$6.63	$8.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.97 / $20.61 / $40.20	Facility		$6.97	$20.61	$40.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.13 / $9.91 / $12.91	Professional		$7.13	$9.91	$12.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.03 / $13.54 / $42.22	Professional		$9.03	$13.54	$42.22
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 $11.19 / $11.19 / $11.19	Professional		$11.19	$11.19	$11.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $2.93 / $5.91	Professional		$1.35	$2.93	$5.91
United Facility/Professional Professional Modifier Low / Median / High Price $5.17 / $6.46 / $9.14	Professional		$5.17	$6.46	$9.14