Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.97 / $56.85 / $133.82	Facility		$10.97	$56.85	$133.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.47 / $7.63 / $9.61	Professional		$6.47	$7.63	$9.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.93 / $5.24 / $11.80	Professional		$3.93	$5.24	$11.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.67 / $36.74 / $90.42	Facility		$14.67	$36.74	$90.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $6.03 / $6.73	Professional		$3.50	$6.03	$6.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.13 / $21.33 / $40.20	Facility		$9.13	$21.33	$40.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.13 / $10.01 / $13.43	Professional		$6.13	$10.01	$13.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.18 / $15.40 / $61.51	Professional		$9.18	$15.40	$61.51
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 $11.36 / $11.36 / $11.36	Professional		$11.36	$11.36	$11.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $6.00 / $10.93	Professional		$4.37	$6.00	$10.93
United Facility/Professional Professional Modifier Low / Median / High Price $3.67 / $5.36 / $9.00	Professional		$3.67	$5.36	$9.00