Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.01 / $24.63 / $207.68	Facility		$12.01	$24.63	$207.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.18 / $10.73 / $12.01	Professional		$8.18	$10.73	$12.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.21 / $7.21 / $7.21	Professional		$7.21	$7.21	$7.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.41 / $38.40 / $126.26	Facility		$17.41	$38.40	$126.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $8.53 / $9.25	Professional		$3.50	$8.53	$9.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.56 / $29.00 / $55.10	Facility		$12.56	$29.00	$55.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $14.46 / $18.41	Professional		$7.85	$14.46	$18.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.61 / $23.25 / $251.89	Professional		$12.61	$23.25	$251.89
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 $15.61 / $15.61 / $15.61	Professional		$15.61	$15.61	$15.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.01 / $8.24 / $15.01	Professional		$6.01	$8.24	$15.01
United Facility/Professional Professional Modifier Low / Median / High Price $5.04 / $8.06 / $14.70	Professional		$5.04	$8.06	$14.70