Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.82 / $73.31 / $164.30	Facility		$9.82	$73.31	$164.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.31 / $5.77 / $8.52	Professional		$5.31	$5.77	$8.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.24 / $8.75	Professional		$3.24	$3.24	$8.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.16 / $30.08 / $82.24	Facility		$11.16	$30.08	$82.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $4.99 / $6.48	Professional		$3.50	$4.99	$6.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.77 / $16.21 / $29.78	Facility		$6.77	$16.21	$29.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.65 / $7.85 / $10.00	Professional		$4.65	$7.85	$10.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.80 / $11.99 / $105.60	Professional		$6.80	$11.99	$105.60
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 $8.42 / $8.42 / $8.42	Professional		$8.42	$8.42	$8.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $4.45 / $8.10	Professional		$3.24	$4.45	$8.10
United Facility/Professional Facility Modifier Low / Median / High Price $2.17 / $2.17 / $2.17	Facility		$2.17	$2.17	$2.17
United Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $4.21 / $6.67	Professional		$2.72	$4.21	$6.67