Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.32 / $28.64 / $42.96	Facility		$12.32	$28.64	$42.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.58 / $12.32 / $18.20	Professional		$7.58	$12.32	$18.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.16 / $7.16 / $7.16	Professional		$7.16	$7.16	$7.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.61 / $65.48 / $189.49	Facility		$19.61	$65.48	$189.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $9.88 / $11.03	Professional		$3.50	$9.88	$11.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.96 / $34.97 / $65.52	Facility		$14.96	$34.97	$65.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $17.35 / $22.01	Professional		$9.35	$17.35	$22.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $25.99 / $128.66	Professional		$14.32	$25.99	$128.66
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 $18.62 / $18.62 / $18.62	Professional		$18.62	$18.62	$18.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.16 / $9.82 / $17.89	Professional		$7.16	$9.82	$17.89
United Facility/Professional Professional Modifier Low / Median / High Price $6.01 / $10.74 / $16.72	Professional		$6.01	$10.74	$16.72