Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $27.40 / $128.18	Facility		$12.00	$27.40	$128.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $10.81 / $21.78	Professional		$9.60	$10.81	$21.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $16.00 / $16.00	Professional		$16.00	$16.00	$16.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.39 / $37.65 / $126.12	Facility		$17.39	$37.65	$126.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $8.77 / $9.24	Professional		$3.50	$8.77	$9.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.54 / $29.00 / $55.10	Facility		$12.54	$29.00	$55.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.84 / $14.46 / $18.41	Professional		$7.84	$14.46	$18.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $22.86 / $125.00	Professional		$12.60	$22.86	$125.00
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 $15.60 / $15.60 / $15.60	Professional		$15.60	$15.60	$15.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $8.23 / $15.00	Professional		$6.00	$8.23	$15.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.04 / $7.36 / $12.36	Professional		$5.04	$7.36	$12.36