Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.99 / $28.45 / $105.26	Facility		$11.99	$28.45	$105.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.59 / $10.72 / $21.38	Professional		$6.59	$10.72	$21.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.48 / $7.48 / $7.48	Professional		$7.48	$7.48	$7.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $41.16 / $130.90	Facility		$18.05	$41.16	$130.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $8.67 / $9.59	Professional		$3.50	$8.67	$9.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.02 / $30.54 / $58.07	Facility		$13.02	$30.54	$58.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $15.28 / $19.21	Professional		$8.14	$15.28	$19.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.08 / $24.09 / $200.81	Professional		$13.08	$24.09	$200.81
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 $16.20 / $16.20 / $16.20	Professional		$16.20	$16.20	$16.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.23 / $8.55 / $15.58	Professional		$6.23	$8.55	$15.58
United Facility/Professional Professional Modifier Low / Median / High Price $5.23 / $8.35 / $17.39	Professional		$5.23	$8.35	$17.39