Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $67.31 / $136.32	Facility		$13.80	$67.31	$136.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.97 / $7.04 / $9.47	Professional		$5.97	$7.04	$9.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $5.61 / $9.69	Professional		$4.04	$5.61	$9.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.66 / $16.46 / $110.29	Facility		$9.66	$16.46	$110.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $6.22 / $8.08	Professional		$3.50	$6.22	$8.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.44 / $19.62 / $37.22	Facility		$8.44	$19.62	$37.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.90 / $9.91 / $12.41	Professional		$5.90	$9.91	$12.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $13.38 / $91.65	Professional		$8.22	$13.38	$91.65
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 $10.50 / $10.50 / $10.50	Professional		$10.50	$10.50	$10.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $5.54 / $10.10	Professional		$4.04	$5.54	$10.10
United Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $4.84 / $9.43	Professional		$3.31	$4.84	$9.43