Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.02 / $23.26 / $31.96	Facility		$10.02	$23.26	$31.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.16 / $9.53 / $15.08	Professional		$6.16	$9.53	$15.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.98 / $6.98 / $6.98	Professional		$6.98	$6.98	$6.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.36 / $37.65 / $122.30	Facility		$17.36	$37.65	$122.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $8.02 / $8.96	Professional		$3.50	$8.02	$8.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.15 / $28.14 / $53.61	Facility		$12.15	$28.14	$53.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $14.04 / $17.61	Professional		$7.60	$14.04	$17.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.21 / $22.51 / $100.00	Professional		$12.21	$22.51	$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 $15.12 / $15.12 / $15.12	Professional		$15.12	$15.12	$15.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.51 / $7.98 / $14.54	Professional		$5.51	$7.98	$14.54
United Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $8.94 / $13.65	Professional		$4.88	$8.94	$13.65