Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.27 / $86.94 / $143.41	Facility		$8.27	$86.94	$143.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $4.61 / $7.11	Professional		$3.89	$4.61	$7.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $6.22 / $7.77	Professional		$2.59	$6.22	$7.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.44 / $21.78 / $53.53	Facility		$8.44	$21.78	$53.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $3.95 / $3.99	Professional		$3.50	$3.95	$3.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.40 / $12.78 / $23.83	Facility		$5.40	$12.78	$23.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.38 / $5.94 / $8.00	Professional		$3.38	$5.94	$8.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.44 / $10.01 / $105.60	Professional		$5.44	$10.01	$105.60
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 $6.73 / $6.73 / $6.73	Professional		$6.73	$6.73	$6.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.46 / $2.85 / $5.18	Professional		$2.46	$2.85	$5.18
United Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $3.52 / $5.18	Professional		$2.18	$3.52	$5.18