Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.06 / $20.59 / $135.69	Facility		$11.06	$20.59	$135.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.92 / $10.36 / $11.08	Professional		$7.92	$10.36	$11.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $7.23 / $7.23	Professional		$7.23	$7.23	$7.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.90 / $50.66 / $175.67	Facility		$15.90	$50.66	$175.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $8.82 / $9.27	Professional		$3.50	$8.82	$9.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.42 / $28.81 / $55.10	Facility		$8.42	$28.81	$55.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.46 / $13.63 / $17.30	Professional		$5.46	$13.63	$17.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.65 / $21.09 / $822.62	Professional		$12.65	$21.09	$822.62
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 $15.67 / $15.67 / $15.67	Professional		$15.67	$15.67	$15.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $8.27 / $12.05	Professional		$8.27	$8.27	$12.05
United Facility/Professional Facility Modifier Low / Median / High Price $14.46 / $14.46 / $14.46	Facility		$14.46	$14.46	$14.46
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $7.23 / $12.05	Professional		$5.05	$7.23	$12.05