Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.93 / $73.50 / $710.64	Facility		$13.93	$73.50	$710.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $9.74 / $13.73	Professional		$8.86	$9.74	$13.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.48 / $6.48 / $6.48	Professional		$6.48	$6.48	$6.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.12 / $34.97 / $113.56	Facility		$16.12	$34.97	$113.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $8.32 / $8.32	Professional		$3.50	$8.32	$8.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.28 / $26.42 / $49.14	Facility		$11.28	$26.42	$49.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $13.22 / $16.53	Professional		$7.06	$13.22	$16.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $20.90 / $128.69	Professional		$11.34	$20.90	$128.69
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 $14.04 / $14.04 / $14.04	Professional		$14.04	$14.04	$14.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.40 / $7.41 / $13.50	Professional		$5.40	$7.41	$13.50
United Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $18.00 / $18.00	Facility		$18.00	$18.00	$18.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $6.63 / $10.80	Professional		$4.54	$6.63	$10.80