Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.12 / $29.94 / $83.32	Facility		$14.12	$29.94	$83.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.38 / $13.85 / $27.44	Professional		$11.38	$13.85	$27.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.70 / $7.70 / $9.23	Professional		$7.70	$7.70	$9.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.32 / $48.42 / $161.75	Facility		$22.32	$48.42	$161.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $10.94 / $11.85	Professional		$3.50	$10.94	$11.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $37.52 / $71.48	Facility		$16.07	$37.52	$71.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.05 / $18.59 / $23.61	Professional		$10.05	$18.59	$23.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $26.93 / $180.89	Professional		$15.39	$26.93	$180.89
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 $20.01 / $20.01 / $20.01	Professional		$20.01	$20.01	$20.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $8.46 / $19.23	Professional		$5.64	$8.46	$19.23
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $9.23 / $17.97	Professional		$6.46	$9.23	$17.97