Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.55 / $68.38 / $145.00	Facility		$16.55	$68.38	$145.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $11.87 / $23.00	Professional		$9.89	$11.87	$23.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $6.60 / $17.80	Professional		$6.60	$6.60	$17.80
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 / $9.36 / $10.16	Professional		$3.50	$9.36	$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 / $121.07	Professional		$13.85	$25.52	$121.07
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 $6.60 / $8.03 / $16.48	Professional		$6.60	$8.03	$16.48
United Facility/Professional Facility Modifier Low / Median / High Price $13.19 / $13.85 / $32.58	Facility		$13.19	$13.85	$32.58
United Facility/Professional Professional Modifier Low / Median / High Price $5.54 / $8.85 / $15.40	Professional		$5.54	$8.85	$15.40