Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.33 / $52.19 / $158.91	Facility		$8.33	$52.19	$158.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $5.14 / $6.71	Professional		$4.59	$5.14	$6.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $7.75 / $7.75	Professional		$7.75	$7.75	$7.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.15 / $27.09 / $71.95	Facility		$10.15	$27.09	$71.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $4.42 / $5.74	Professional		$3.50	$4.42	$5.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.01 / $13.73 / $26.80	Facility		$6.01	$13.73	$26.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.11 / $7.02 / $8.80	Professional		$4.11	$7.02	$8.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $10.62 / $48.28	Professional		$6.03	$10.62	$48.28
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 $7.46 / $7.46 / $7.46	Professional		$7.46	$7.46	$7.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.83 / $3.94 / $7.18	Professional		$2.83	$3.94	$7.18
United Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $3.44 / $5.74	Professional		$2.41	$3.44	$5.74