Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.71 / $17.59 / $116.23	Facility		$7.71	$17.59	$116.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.94 / $6.72 / $12.60	Professional		$5.94	$6.72	$12.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.86 / $3.86 / $3.86	Professional		$3.86	$3.86	$3.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.61 / $24.21 / $81.08	Facility		$11.61	$24.21	$81.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $5.94 / $5.94	Professional		$3.50	$5.94	$5.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.06 / $18.76 / $35.74	Facility		$8.06	$18.76	$35.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.04 / $9.18 / $11.88	Professional		$5.04	$9.18	$11.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.10 / $14.92 / $155.01	Professional		$8.10	$14.92	$155.01
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 $10.02 / $10.02 / $10.02	Professional		$10.02	$10.02	$10.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.83 / $4.89 / $9.64	Professional		$2.83	$4.89	$9.64
United Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $5.78 / $9.00	Professional		$3.24	$5.78	$9.00