Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $18.64 / $152.77	Facility		$9.55	$18.64	$152.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.35 / $7.83 / $18.53	Professional		$7.35	$7.83	$18.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.58 / $2.58 / $2.58	Professional		$2.58	$2.58	$2.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.15 / $15.56 / $96.67	Facility		$8.15	$15.56	$96.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $7.35 / $9.55	Professional		$3.50	$7.35	$9.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.81 / $22.85 / $44.67	Facility		$7.81	$22.85	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.96 / $11.15 / $14.45	Professional		$4.96	$11.15	$14.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $15.02 / $40.06	Professional		$9.55	$15.02	$40.06
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 $12.42 / $12.42 / $12.42	Professional		$12.42	$12.42	$12.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $5.25 / $11.94	Professional		$3.50	$5.25	$11.94
United Facility/Professional Professional Modifier Low / Median / High Price $3.56 / $4.78 / $9.55	Professional		$3.56	$4.78	$9.55