Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.27 / $86.70 / $141.68	Facility		$13.27	$86.70	$141.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.44 / $6.92 / $11.36	Professional		$5.44	$6.92	$11.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $3.89 / $9.32	Professional		$3.50	$3.89	$9.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.72 / $43.98 / $106.06	Facility		$13.72	$43.98	$106.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $6.22 / $7.77	Professional		$3.50	$6.22	$7.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.11 / $18.76 / $35.74	Facility		$8.11	$18.76	$35.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.54 / $9.50 / $12.01	Professional		$5.54	$9.50	$12.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.16 / $14.37 / $84.07	Professional		$8.16	$14.37	$84.07
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 $10.10 / $10.10 / $10.10	Professional		$10.10	$10.10	$10.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $5.33 / $9.71	Professional		$3.89	$5.33	$9.71
United Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $2.63 / $2.63	Facility		$2.63	$2.63	$2.63
United Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $4.66 / $8.00	Professional		$3.26	$4.66	$8.00