Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $79.61	Facility		$0.02	$0.03	$79.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $13.33 / $13.51	Professional		$0.02	$13.33	$13.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.80 / $2.96 / $4.40	Professional		$2.80	$2.96	$4.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.20 / $70.79 / $207.48	Facility		$27.20	$70.79	$207.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $13.92 / $15.53	Professional		$3.50	$13.92	$15.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.65 / $87.75 / $163.80	Facility		$2.65	$87.75	$163.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $23.36 / $40.64	Professional		$10.40	$23.36	$40.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.73 / $34.04 / $72.72	Professional		$22.73	$34.04	$72.72
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 $28.15 / $28.56 / $31.67	Professional		$28.15	$28.56	$31.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.13 / $2.27 / $4.89	Professional		$1.13	$2.27	$4.89
United Facility/Professional Facility Modifier Low / Median / High Price $24.65 / $24.65 / $24.65	Facility		$24.65	$24.65	$24.65
United Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $18.89 / $37.45	Professional		$9.01	$18.89	$37.45