Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.81 / $29.80 / $73.84	Facility		$12.81	$29.80	$73.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.90 / $12.83 / $18.94	Professional		$7.90	$12.83	$18.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.45 / $7.45 / $7.45	Professional		$7.45	$7.45	$7.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.60 / $46.65 / $156.56	Facility		$21.60	$46.65	$156.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $10.90 / $11.47	Professional		$3.50	$10.90	$11.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.56 / $36.65 / $68.50	Facility		$15.56	$36.65	$68.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.73 / $18.17 / $22.81	Professional		$9.73	$18.17	$22.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $28.83 / $123.08	Professional		$15.65	$28.83	$123.08
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 $19.37 / $19.37 / $19.37	Professional		$19.37	$19.37	$19.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.45 / $10.22 / $18.63	Professional		$7.45	$10.22	$18.63
United Facility/Professional Professional Modifier Low / Median / High Price $6.26 / $9.14 / $17.39	Professional		$6.26	$9.14	$17.39