Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.52 / $26.30 / $88.64	Facility		$13.52	$26.30	$88.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.17 / $12.05 / $18.91	Professional		$8.17	$12.05	$18.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $6.76	Professional		$6.76	$6.76	$6.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.84 / $43.04 / $142.09	Facility		$19.84	$43.04	$142.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $9.33 / $10.41	Professional		$3.50	$9.33	$10.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.12 / $33.13 / $62.54	Facility		$14.12	$33.13	$62.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.83 / $16.52 / $20.81	Professional		$8.83	$16.52	$20.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.20 / $25.74 / $145.44	Professional		$14.20	$25.74	$145.44
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 $17.57 / $17.57 / $17.57	Professional		$17.57	$17.57	$17.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.35 / $10.71 / $16.89	Professional		$5.35	$10.71	$16.89
United Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $13.52 / $16.22	Facility		$9.27	$13.52	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $5.68 / $8.61 / $15.79	Professional		$5.68	$8.61	$15.79