Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.90 / $25.36 / $47.74	Facility		$10.90	$25.36	$47.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.76 / $11.35 / $32.36	Professional		$9.76	$11.35	$32.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.61 / $7.61 / $7.61	Professional		$7.61	$7.61	$7.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.60 / $40.35 / $133.22	Facility		$18.60	$40.35	$133.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $8.75 / $9.76	Professional		$3.50	$8.75	$9.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.25 / $30.71 / $58.07	Facility		$13.25	$30.71	$58.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $15.28 / $19.21	Professional		$8.28	$15.28	$19.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.31 / $24.57 / $110.02	Professional		$13.31	$24.57	$110.02
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 $16.48 / $16.48 / $16.48	Professional		$16.48	$16.48	$16.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.34 / $8.69 / $15.85	Professional		$6.34	$8.69	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $5.33 / $7.78 / $12.68	Professional		$5.33	$7.78	$12.68