Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.19 / $30.12 / $204.40	Facility		$13.19	$30.12	$204.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.82 / $11.95 / $34.47	Professional		$10.82	$11.95	$34.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.91 / $7.91 / $7.91	Professional		$7.91	$7.91	$7.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.12 / $40.35 / $138.68	Facility		$19.12	$40.35	$138.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $9.10 / $10.16	Professional		$3.50	$9.10	$10.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.78 / $32.40 / $61.05	Facility		$13.78	$32.40	$61.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $16.11 / $20.14	Professional		$8.61	$16.11	$20.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.85 / $25.52 / $139.86	Professional		$13.85	$25.52	$139.86
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 $17.14 / $17.14 / $17.14	Professional		$17.14	$17.14	$17.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.24 / $7.25 / $13.19	Professional		$6.24	$7.25	$13.19
United Facility/Professional Facility Modifier Low / Median / High Price $7.60 / $26.38 / $26.38	Facility		$7.60	$26.38	$26.38
United Facility/Professional Professional Modifier Low / Median / High Price $5.54 / $8.09 / $13.59	Professional		$5.54	$8.09	$13.59