Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.44 / $28.12 / $151.38	Facility		$12.44	$28.12	$151.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $7.80 / $13.88	Professional		$7.23	$7.80	$13.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $8.68 / $8.68	Professional		$8.68	$8.68	$8.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.10 / $27.44 / $138.74	Facility		$16.10	$27.44	$138.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $9.98 / $11.13	Professional		$3.50	$9.98	$11.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.11 / $34.59 / $67.01	Facility		$10.11	$34.59	$67.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.94 / $16.93 / $21.81	Professional		$5.94	$16.93	$21.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $22.41 / $79.12	Professional		$15.18	$22.41	$79.12
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 $18.80 / $18.80 / $18.80	Professional		$18.80	$18.80	$18.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.31 / $7.95 / $18.07	Professional		$5.31	$7.95	$18.07
United Facility/Professional Facility Modifier Low / Median / High Price $4.88 / $28.92 / $28.92	Facility		$4.88	$28.92	$28.92
United Facility/Professional Professional Modifier Low / Median / High Price $5.70 / $7.22 / $14.46	Professional		$5.70	$7.22	$14.46