Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.89 / $112.46 / $312.95	Facility		$14.89	$112.46	$312.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $8.52 / $12.44	Professional		$7.77	$8.52	$12.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $4.74 / $12.78	Professional		$4.26	$4.74	$12.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $39.79 / $98.04	Facility		$16.07	$39.79	$98.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $6.73 / $7.29	Professional		$3.50	$6.73	$7.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.90 / $23.02 / $43.18	Facility		$9.90	$23.02	$43.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.18 / $11.56 / $14.45	Professional		$6.18	$11.56	$14.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $16.57 / $128.69	Professional		$9.94	$16.57	$128.69
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 $12.31 / $12.31 / $12.31	Professional		$12.31	$12.31	$12.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.74 / $6.47 / $9.94	Professional		$4.74	$6.47	$9.94
United Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $6.16 / $11.06	Professional		$3.98	$6.16	$11.06