Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.11 / $92.80 / $150.91	Facility		$8.11	$92.80	$150.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $4.67 / $11.27	Professional		$4.25	$4.67	$11.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $2.59 / $2.59	Professional		$2.59	$2.59	$2.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.06 / $24.44 / $67.68	Facility		$9.06	$24.44	$67.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $3.99 / $5.18	Professional		$3.50	$3.99	$5.18
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 $3.75 / $6.20 / $8.00	Professional		$3.75	$6.20	$8.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.44 / $10.01 / $62.84	Professional		$5.44	$10.01	$62.84
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 $2.59 / $3.55 / $6.48	Professional		$2.59	$3.55	$6.48
United Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $4.40 / $6.22	Professional		$3.11	$4.40	$6.22