Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.89 / $24.38 / $460.68	Facility		$11.89	$24.38	$460.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.29 / $10.23 / $15.11	Professional		$6.29	$10.23	$15.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.13 / $7.13 / $7.13	Professional		$7.13	$7.13	$7.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.36 / $38.40 / $125.03	Facility		$17.36	$38.40	$125.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $8.19 / $9.16	Professional		$3.50	$8.19	$9.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.43 / $29.00 / $55.10	Facility		$12.43	$29.00	$55.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $14.46 / $18.07	Professional		$7.77	$14.46	$18.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $23.02 / $165.58	Professional		$12.48	$23.02	$165.58
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 $15.46 / $15.46 / $15.46	Professional		$15.46	$15.46	$15.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.95 / $8.16 / $12.22	Professional		$5.95	$8.16	$12.22
United Facility/Professional Facility Modifier Low / Median / High Price $19.94 / $19.94 / $19.94	Facility		$19.94	$19.94	$19.94
United Facility/Professional Professional Modifier Low / Median / High Price $4.99 / $7.57 / $13.88	Professional		$4.99	$7.57	$13.88