Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.07 / $20.93 / $251.51	Facility		$10.07	$20.93	$251.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.58 / $14.28 / $29.04	Professional		$6.58	$14.28	$29.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $4.80 / $9.63	Professional		$4.80	$4.80	$9.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.10 / $24.69 / $84.35	Facility		$12.10	$24.69	$84.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $5.53 / $6.18	Professional		$3.50	$5.53	$6.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.38 / $19.50 / $37.22	Facility		$8.38	$19.50	$37.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $9.91 / $12.39	Professional		$5.24	$9.91	$12.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $14.04 / $127.13	Professional		$8.02	$14.04	$127.13
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 $10.43 / $10.43 / $10.43	Professional		$10.43	$10.43	$10.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $5.50 / $10.02	Professional		$4.01	$5.50	$10.02
United Facility/Professional Professional Modifier Low / Median / High Price $3.37 / $5.11 / $8.02	Professional		$3.37	$5.11	$8.02