Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.89 / $24.63 / $67.02	Facility		$10.89	$24.63	$67.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $27.42 / $32.67	Professional		$9.85	$27.42	$32.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.21 / $7.21 / $7.21	Professional		$7.21	$7.21	$7.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.41 / $38.40 / $126.26	Facility		$17.41	$38.40	$126.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $8.78 / $9.25	Professional		$3.50	$8.78	$9.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.54 / $29.00 / $55.10	Facility		$12.54	$29.00	$55.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.84 / $14.46 / $18.41	Professional		$7.84	$14.46	$18.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.61 / $23.24 / $100.00	Professional		$12.61	$23.24	$100.00
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 $15.61 / $15.61 / $15.61	Professional		$15.61	$15.61	$15.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.01 / $8.24 / $15.01	Professional		$6.01	$8.24	$15.01
United Facility/Professional Professional Modifier Low / Median / High Price $5.04 / $8.17 / $12.01	Professional		$5.04	$8.17	$12.01