Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.66 / $72.36 / $104.37	Facility		$12.66	$72.36	$104.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $7.05 / $9.46	Professional		$5.99	$7.05	$9.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.64 / $5.62 / $10.92	Professional		$3.64	$5.62	$10.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.97 / $38.00 / $102.80	Facility		$13.97	$38.00	$102.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $6.23 / $8.09	Professional		$3.50	$6.23	$8.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.46 / $19.62 / $37.22	Facility		$8.46	$19.62	$37.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.29 / $9.59 / $12.41	Professional		$5.29	$9.59	$12.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.49 / $15.65 / $76.89	Professional		$8.49	$15.65	$76.89
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 $10.52 / $10.52 / $10.52	Professional		$10.52	$10.52	$10.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $5.55 / $10.11	Professional		$4.05	$5.55	$10.11
United Facility/Professional Facility Modifier Low / Median / High Price $13.57 / $13.57 / $13.57	Facility		$13.57	$13.57	$13.57
United Facility/Professional Professional Modifier Low / Median / High Price $3.40 / $4.84 / $9.44	Professional		$3.40	$4.84	$9.44