Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.73 / $24.92 / $34.24	Facility		$10.73	$24.92	$34.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.59 / $10.72 / $15.84	Professional		$6.59	$10.72	$15.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.48 / $7.48 / $7.48	Professional		$7.48	$7.48	$7.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.60 / $41.16 / $130.90	Facility		$18.60	$41.16	$130.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $9.59 / $9.59	Professional		$3.50	$9.59	$9.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.03 / $30.54 / $58.07	Facility		$13.03	$30.54	$58.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $15.28 / $19.21	Professional		$8.94	$15.28	$19.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.08 / $24.11 / $230.43	Professional		$13.08	$24.11	$230.43
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 $16.20 / $16.20 / $16.20	Professional		$16.20	$16.20	$16.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.23 / $8.55 / $15.58	Professional		$6.23	$8.55	$15.58
United Facility/Professional Professional Modifier Low / Median / High Price $5.23 / $8.36 / $12.83	Professional		$5.23	$8.36	$12.83