Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.35 / $42.48 / $123.20	Facility		$12.35	$42.48	$123.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.86 / $8.64 / $25.05	Professional		$7.86	$8.64	$25.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $12.93 / $14.37	Professional		$4.79	$12.93	$14.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.89 / $30.19 / $100.73	Facility		$13.89	$30.19	$100.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $7.01 / $7.38	Professional		$3.50	$7.01	$7.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.01 / $23.02 / $44.67	Facility		$10.01	$23.02	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.25 / $11.26 / $14.81	Professional		$6.25	$11.26	$14.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.06 / $17.34 / $120.00	Professional		$10.06	$17.34	$120.00
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 $12.45 / $12.45 / $12.45	Professional		$12.45	$12.45	$12.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.57 / $11.98	Professional		$4.79	$6.57	$11.98
United Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $5.87 / $9.86	Professional		$4.01	$5.87	$9.86