Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.73 / $24.23 / $58.14	Facility		$10.73	$24.23	$58.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.47 / $10.53 / $21.06	Professional		$8.47	$10.53	$21.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.09 / $7.09 / $7.09	Professional		$7.09	$7.09	$7.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.36 / $38.40 / $124.21	Facility		$17.36	$38.40	$124.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $8.16 / $9.10	Professional		$3.50	$8.16	$9.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.35 / $29.00 / $55.10	Facility		$12.35	$29.00	$55.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $14.46 / $18.07	Professional		$7.72	$14.46	$18.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.41 / $22.89 / $100.00	Professional		$12.41	$22.89	$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 $15.37 / $15.37 / $15.37	Professional		$15.37	$15.37	$15.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $8.11 / $16.17	Professional		$6.20	$8.11	$16.17
United Facility/Professional Professional Modifier Low / Median / High Price $4.96 / $7.53 / $12.17	Professional		$4.96	$7.53	$12.17