Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.80 / $33.79 / $81.59	Facility		$14.80	$33.79	$81.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.40 / $13.22 / $18.82	Professional		$11.40	$13.22	$18.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.40 / $7.40 / $8.88	Professional		$7.40	$7.40	$8.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.46 / $45.73 / $155.61	Facility		$21.46	$45.73	$155.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $10.21 / $11.40	Professional		$3.50	$10.21	$11.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.46 / $35.83 / $68.50	Facility		$15.46	$35.83	$68.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $18.17 / $22.81	Professional		$9.67	$18.17	$22.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.54 / $28.63 / $150.00	Professional		$15.54	$28.63	$150.00
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 $19.23 / $19.23 / $19.23	Professional		$19.23	$19.23	$19.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.40 / $10.15 / $18.50	Professional		$7.40	$10.15	$18.50
United Facility/Professional Professional Modifier Low / Median / High Price $6.22 / $9.43 / $15.24	Professional		$6.22	$9.43	$15.24