Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.21 / $82.60 / $313.60	Facility		$12.21	$82.60	$313.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.02 / $7.56 / $11.54	Professional		$6.02	$7.56	$11.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $10.09 / $11.00	Professional		$5.05	$10.09	$11.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.40 / $26.90 / $88.45	Facility		$12.40	$26.90	$88.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $6.16 / $6.48	Professional		$3.50	$6.16	$6.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.77 / $20.48 / $38.72	Facility		$8.77	$20.48	$38.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.49 / $10.33 / $12.91	Professional		$5.49	$10.33	$12.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.83 / $15.22 / $94.68	Professional		$8.83	$15.22	$94.68
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 $10.93 / $10.93 / $10.93	Professional		$10.93	$10.93	$10.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $5.77 / $10.51	Professional		$4.21	$5.77	$10.51
United Facility/Professional Facility Modifier Low / Median / High Price $5.76 / $5.76 / $8.41	Facility		$5.76	$5.76	$8.41
United Facility/Professional Professional Modifier Low / Median / High Price $3.53 / $5.71 / $8.41	Professional		$3.53	$5.71	$8.41