Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.16 / $27.45 / $72.51	Facility		$12.16	$27.45	$72.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $11.91 / $23.30	Professional		$10.71	$11.91	$23.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $8.02 / $8.02	Professional		$8.02	$8.02	$8.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.36 / $56.29 / $138.54	Facility		$22.36	$56.29	$138.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $9.52 / $10.31	Professional		$3.50	$9.52	$10.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.99 / $32.40 / $61.05	Facility		$13.99	$32.40	$61.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $16.52 / $20.65	Professional		$8.75	$16.52	$20.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.06 / $25.91 / $120.00	Professional		$14.06	$25.91	$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 $17.41 / $17.41 / $17.41	Professional		$17.41	$17.41	$17.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.91 / $7.36 / $16.73	Professional		$4.91	$7.36	$16.73
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $10.29 / $13.79	Professional		$5.62	$10.29	$13.79