Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.39 / $21.58 / $95.26	Facility		$12.39	$21.58	$95.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $10.78 / $21.00	Professional		$7.95	$10.78	$21.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.05 / $7.25	Professional		$6.05	$6.05	$7.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.95 / $50.83 / $176.23	Facility		$15.95	$50.83	$176.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $8.67 / $9.31	Professional		$3.50	$8.67	$9.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.44 / $28.92 / $55.10	Facility		$8.44	$28.92	$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 $12.69 / $21.16 / $139.83	Professional		$12.69	$21.16	$139.83
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 $15.72 / $15.72 / $15.72	Professional		$15.72	$15.72	$15.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $8.28 / $15.11	Professional		$6.05	$8.28	$15.11
United Facility/Professional Facility Modifier Low / Median / High Price $12.09 / $12.69 / $29.86	Facility		$12.09	$12.69	$29.86
United Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $7.25 / $12.09	Professional		$5.08	$7.25	$12.09