Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.91 / $23.57 / $160.37	Facility		$11.91	$23.57	$160.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.02 / $9.23 / $11.94	Professional		$6.02	$9.23	$11.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.19 / $6.19 / $12.39	Professional		$6.19	$6.19	$12.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.96 / $32.28 / $108.51	Facility		$14.96	$32.28	$108.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $7.55 / $7.95	Professional		$3.50	$7.55	$7.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.80 / $25.34 / $47.65	Facility		$10.80	$25.34	$47.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.74 / $12.39 / $15.61	Professional		$6.74	$12.39	$15.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $19.98 / $92.78	Professional		$10.84	$19.98	$92.78
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 $13.42 / $13.42 / $13.42	Professional		$13.42	$13.42	$13.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.16 / $7.08 / $12.90	Professional		$5.16	$7.08	$12.90
United Facility/Professional Professional Modifier Low / Median / High Price $4.33 / $7.74 / $11.54	Professional		$4.33	$7.74	$11.54