Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.72 / $73.61 / $122.28	Facility		$9.72	$73.61	$122.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $5.24 / $7.79	Professional		$4.69	$5.24	$7.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.01 / $4.17 / $8.11	Professional		$3.01	$4.17	$8.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.02 / $30.26 / $81.88	Facility		$11.02	$30.26	$81.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $4.63 / $6.01	Professional		$3.50	$4.63	$6.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.28 / $14.50 / $28.29	Facility		$6.28	$14.50	$28.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $7.09 / $9.28	Professional		$4.26	$7.09	$9.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $10.91 / $102.52	Professional		$6.31	$10.91	$102.52
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 $7.81 / $7.81 / $7.81	Professional		$7.81	$7.81	$7.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.01 / $4.12 / $7.51	Professional		$3.01	$4.12	$7.51
United Facility/Professional Facility Modifier Low / Median / High Price $4.12 / $6.01 / $7.21	Facility		$4.12	$6.01	$7.21
United Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $3.61 / $6.19	Professional		$2.52	$3.61	$6.19