Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.89 / $18.23 / $91.33	Facility		$8.89	$18.23	$91.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.87 / $7.75 / $11.69	Professional		$6.87	$7.75	$11.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $4.45 / $4.45	Professional		$4.45	$4.45	$4.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.10 / $41.96 / $107.94	Facility		$15.10	$41.96	$107.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $6.85 / $8.89	Professional		$3.50	$6.85	$8.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.28 / $21.33 / $40.20	Facility		$9.28	$21.33	$40.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.80 / $10.74 / $13.61	Professional		$5.80	$10.74	$13.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $16.12 / $85.04	Professional		$9.33	$16.12	$85.04
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 $11.56 / $11.56 / $11.56	Professional		$11.56	$11.56	$11.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $6.10 / $11.11	Professional		$4.45	$6.10	$11.11
United Facility/Professional Professional Modifier Low / Median / High Price $3.73 / $5.44 / $9.16	Professional		$3.73	$5.44	$9.16