Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.07 / $38.94 / $119.28	Facility		$8.07	$38.94	$119.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.73 / $5.16 / $9.80	Professional		$4.73	$5.16	$9.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.89 / $2.89 / $3.46	Professional		$2.89	$2.89	$3.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $19.21 / $60.60	Facility		$9.27	$19.21	$60.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $4.44 / $4.44	Professional		$3.50	$4.44	$4.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $14.30 / $26.80	Facility		$6.03	$14.30	$26.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.77 / $7.02 / $8.80	Professional		$3.77	$7.02	$8.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.06 / $11.17 / $100.00	Professional		$6.06	$11.17	$100.00
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 $7.50 / $7.50 / $7.50	Professional		$7.50	$7.50	$7.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.44 / $3.96 / $7.21	Professional		$2.44	$3.96	$7.21
United Facility/Professional Professional Modifier Low / Median / High Price $2.42 / $4.20 / $5.77	Professional		$2.42	$4.20	$5.77