Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $22.14 / $124.95	Facility		$9.94	$22.14	$124.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $8.66 / $9.69	Professional		$7.95	$8.66	$9.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $4.84 / $5.82	Professional		$4.84	$4.84	$5.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.06 / $30.19 / $101.96	Facility		$14.06	$30.19	$101.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $6.69 / $7.47	Professional		$3.50	$6.69	$7.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.14 / $23.88 / $44.67	Facility		$10.14	$23.88	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.33 / $11.98 / $14.98	Professional		$6.33	$11.98	$14.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $17.60 / $117.48	Professional		$10.19	$17.60	$117.48
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 $12.61 / $12.61 / $12.61	Professional		$12.61	$12.61	$12.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $6.65 / $12.13	Professional		$4.84	$6.65	$12.13
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $6.60 / $11.32	Professional		$4.07	$6.60	$11.32