Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.81 / $27.42 / $79.50	Facility		$12.81	$27.42	$79.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $9.92 / $15.64	Professional		$9.11	$9.92	$15.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.70 / $5.70 / $6.83	Professional		$5.70	$5.70	$6.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.51 / $34.97 / $119.71	Facility		$16.51	$34.97	$119.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $7.86 / $8.77	Professional		$3.50	$7.86	$8.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.89 / $27.93 / $52.12	Facility		$11.89	$27.93	$52.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $13.35 / $17.55	Professional		$7.44	$13.35	$17.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.96 / $21.88 / $100.00	Professional		$11.96	$21.88	$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 $14.81 / $14.81 / $14.81	Professional		$14.81	$14.81	$14.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.70 / $7.81 / $14.24	Professional		$5.70	$7.81	$14.24
United Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $7.73 / $12.60	Professional		$4.78	$7.73	$12.60