Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.15 / $25.90 / $70.09	Facility		$11.15	$25.90	$70.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.97 / $11.55 / $17.05	Professional		$9.97	$11.55	$17.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $7.77 / $7.77	Professional		$7.77	$7.77	$7.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.77 / $40.35 / $136.09	Facility		$18.77	$40.35	$136.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $8.94 / $9.97	Professional		$3.50	$8.94	$9.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.53 / $31.54 / $59.56	Facility		$13.53	$31.54	$59.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.46 / $15.69 / $19.61	Professional		$8.46	$15.69	$19.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $22.66 / $139.86	Professional		$13.60	$22.66	$139.86
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 $16.84 / $16.84 / $16.84	Professional		$16.84	$16.84	$16.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.75 / $7.12 / $16.19	Professional		$4.75	$7.12	$16.19
United Facility/Professional Professional Modifier Low / Median / High Price $5.44 / $8.25 / $13.34	Professional		$5.44	$8.25	$13.34