Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.08 / $26.40 / $86.90	Facility		$11.08	$26.40	$86.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $11.48 / $46.76	Professional		$10.30	$11.48	$46.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.73 / $7.73 / $7.73	Professional		$7.73	$7.73	$7.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.67 / $40.35 / $135.40	Facility		$18.67	$40.35	$135.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $8.89 / $9.92	Professional		$3.50	$8.89	$9.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.46 / $31.54 / $59.56	Facility		$13.46	$31.54	$59.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.41 / $15.69 / $19.61	Professional		$8.41	$15.69	$19.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.52 / $24.93 / $78.26	Professional		$13.52	$24.93	$78.26
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 $16.73 / $16.73 / $16.73	Professional		$16.73	$16.73	$16.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $8.84 / $16.10	Professional		$6.44	$8.84	$16.10
United Facility/Professional Professional Modifier Low / Median / High Price $5.41 / $7.90 / $12.88	Professional		$5.41	$7.90	$12.88