Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.86 / $26.42 / $76.48	Facility		$11.86	$26.42	$76.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.31 / $11.57	Professional		$8.91	$10.31	$11.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.94 / $6.94 / $13.88	Professional		$6.94	$6.94	$13.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.36 / $38.40 / $121.62	Facility		$17.36	$38.40	$121.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $7.98 / $8.91	Professional		$3.50	$7.98	$8.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.08 / $28.14 / $53.61	Facility		$12.08	$28.14	$53.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.56 / $14.04 / $17.61	Professional		$7.56	$14.04	$17.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.15 / $22.37 / $111.89	Professional		$12.15	$22.37	$111.89
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 $15.04 / $15.04 / $15.04	Professional		$15.04	$15.04	$15.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.79 / $7.94 / $14.46	Professional		$5.79	$7.94	$14.46
United Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $8.68 / $11.57	Professional		$4.86	$8.68	$11.57