Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.16 / $22.54 / $153.56	Facility		$12.16	$22.54	$153.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.26 / $10.30 / $20.60	Professional		$9.26	$10.30	$20.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.37 / $17.37 / $17.37	Professional		$17.37	$17.37	$17.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.36 / $38.40 / $121.75	Facility		$17.36	$38.40	$121.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $7.99 / $8.92	Professional		$3.50	$7.99	$8.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.10 / $28.14 / $53.61	Facility		$12.10	$28.14	$53.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.56 / $14.04 / $17.61	Professional		$7.56	$14.04	$17.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.16 / $22.39 / $84.34	Professional		$12.16	$22.39	$84.34
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 $15.05 / $15.05 / $15.05	Professional		$15.05	$15.05	$15.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $6.37 / $14.48	Professional		$4.25	$6.37	$14.48
United Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $11.58 / $13.90	Facility		$7.94	$11.58	$13.90
United Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $7.86 / $11.93	Professional		$4.86	$7.86	$11.93