Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.25 / $42.97 / $96.20	Facility		$10.25	$42.97	$96.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.54 / $7.35 / $11.07	Professional		$6.54	$7.35	$11.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.21 / $2.21 / $4.90	Professional		$2.21	$2.21	$4.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.15 / $30.19 / $114.55	Facility		$13.15	$30.19	$114.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $6.29 / $8.17	Professional		$3.50	$6.29	$8.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.52 / $19.62 / $37.22	Facility		$8.52	$19.62	$37.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $9.91 / $12.41	Professional		$5.34	$9.91	$12.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.58 / $15.11 / $100.00	Professional		$8.58	$15.11	$100.00
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 $10.62 / $10.62 / $10.62	Professional		$10.62	$10.62	$10.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $4.49 / $10.21	Professional		$1.80	$4.49	$10.21
United Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $6.94 / $11.42	Professional		$4.90	$6.94	$11.42