Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.97 / $25.50 / $35.04	Facility		$10.97	$25.50	$35.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.49 / $25.50	Professional		$10.19	$10.49	$25.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $3.44 / $3.44	Professional		$3.44	$3.44	$3.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.85 / $37.65 / $131.19	Facility		$17.85	$37.65	$131.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $9.33 / $9.82	Professional		$3.50	$9.33	$9.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.44 / $30.51 / $58.07	Facility		$12.44	$30.51	$58.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $15.69 / $19.61	Professional		$7.60	$15.69	$19.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $22.31 / $56.93	Professional		$13.39	$22.31	$56.93
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 $16.57 / $16.57 / $16.57	Professional		$16.57	$16.57	$16.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.38 / $8.75 / $15.94	Professional		$6.38	$8.75	$15.94
United Facility/Professional Professional Modifier Low / Median / High Price $5.36 / $7.65 / $13.13	Professional		$5.36	$7.65	$13.13