Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.14 / $25.81 / $114.25	Facility		$10.14	$25.81	$114.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $8.77 / $9.06	Professional		$8.11	$8.77	$9.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.93 / $5.93 / $5.93	Professional		$5.93	$5.93	$5.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.54 / $52.73 / $130.91	Facility		$13.54	$52.73	$130.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $6.82 / $7.62	Professional		$3.50	$6.82	$7.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.33 / $23.88 / $46.16	Facility		$10.33	$23.88	$46.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $11.98 / $15.21	Professional		$6.46	$11.98	$15.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.38 / $17.30 / $120.00	Professional		$10.38	$17.30	$120.00
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 $12.86 / $12.86 / $12.86	Professional		$12.86	$12.86	$12.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $5.27 / $12.36	Professional		$3.63	$5.27	$12.36
United Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.15 / $5.93 / $10.50	Professional		$4.15	$5.93	$10.50