Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.21 / $71.90 / $162.40	Facility		$14.21	$71.90	$162.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.18 / $8.33 / $13.75	Professional		$7.18	$8.33	$13.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $5.83 / $11.65	Professional		$4.86	$5.83	$11.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $48.44 / $132.44	Facility		$16.98	$48.44	$132.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $7.77 / $9.71	Professional		$3.50	$7.77	$9.71
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 $6.34 / $11.98 / $14.98	Professional		$6.34	$11.98	$14.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $17.96 / $98.42	Professional		$10.19	$17.96	$98.42
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 $12.62 / $12.62 / $12.62	Professional		$12.62	$12.62	$12.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $6.61 / $12.14	Professional		$3.57	$6.61	$12.14
United Facility/Professional Professional Modifier Low / Median / High Price $4.08 / $6.19 / $10.00	Professional		$4.08	$6.19	$10.00