Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.23 / $69.54 / $191.40	Facility		$14.23	$69.54	$191.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.40 / $7.70 / $12.35	Professional		$7.40	$7.70	$12.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $4.86 / $5.83	Professional		$4.86	$4.86	$5.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.72 / $26.90 / $99.93	Facility		$13.72	$26.90	$99.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $6.91 / $7.48	Professional		$3.50	$6.91	$7.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.36 / $23.26 / $44.67	Facility		$9.36	$23.26	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.55 / $11.98 / $14.98	Professional		$5.55	$11.98	$14.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.21 / $17.01 / $102.86	Professional		$10.21	$17.01	$102.86
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 $12.64 / $12.64 / $12.64	Professional		$12.64	$12.64	$12.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $6.67 / $12.15	Professional		$4.86	$6.67	$12.15
United Facility/Professional Professional Modifier Low / Median / High Price $4.08 / $5.83 / $10.01	Professional		$4.08	$5.83	$10.01