Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.44 / $19.28 / $159.30	Facility		$8.44	$19.28	$159.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $7.27 / $8.44	Professional		$4.46	$7.27	$8.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $5.05	Professional		$5.05	$5.05	$5.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.72 / $26.90 / $88.72	Facility		$12.72	$26.90	$88.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $6.17 / $6.50	Professional		$3.50	$6.17	$6.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.83 / $20.48 / $38.72	Facility		$8.83	$20.48	$38.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.51 / $10.33 / $12.91	Professional		$5.51	$10.33	$12.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $16.35 / $100.00	Professional		$8.86	$16.35	$100.00
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 $10.97 / $10.97 / $10.97	Professional		$10.97	$10.97	$10.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $4.63 / $6.20	Professional		$3.09	$4.63	$6.20
United Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $5.38 / $8.44	Professional		$3.54	$5.38	$8.44