Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.14 / $32.68 / $169.33	Facility		$8.14	$32.68	$169.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.42 / $6.98	Professional		$5.13	$5.42	$6.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.62 / $4.19 / $8.14	Professional		$3.62	$4.19	$8.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $18.82 / $63.33	Facility		$9.69	$18.82	$63.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $4.50 / $4.63	Professional		$3.50	$4.50	$4.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.30 / $14.50 / $28.29	Facility		$6.30	$14.50	$28.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.94 / $7.43 / $9.28	Professional		$3.94	$7.43	$9.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.33 / $11.23 / $61.17	Professional		$6.33	$11.23	$61.17
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 $7.84 / $7.84 / $7.84	Professional		$7.84	$7.84	$7.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.13 / $7.54	Professional		$3.02	$4.13	$7.54
United Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $3.70 / $6.21	Professional		$2.52	$3.70	$6.21