Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.58 / $50.29 / $154.58	Facility		$9.58	$50.29	$154.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.29 / $5.77 / $8.40	Professional		$5.29	$5.77	$8.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.97 / $8.92 / $8.92	Professional		$3.97	$8.92	$8.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.57 / $19.21 / $69.47	Facility		$10.57	$19.21	$69.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $4.70 / $5.09	Professional		$3.50	$4.70	$5.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.91 / $16.21 / $29.78	Facility		$6.91	$16.21	$29.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $8.26 / $10.33	Professional		$4.32	$8.26	$10.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.94 / $12.23 / $113.41	Professional		$6.94	$12.23	$113.41
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 $8.59 / $8.59 / $8.59	Professional		$8.59	$8.59	$8.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $4.53 / $8.26	Professional		$3.31	$4.53	$8.26
United Facility/Professional Professional Modifier Low / Median / High Price $2.78 / $4.93 / $7.72	Professional		$2.78	$4.93	$7.72