Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.23 / $52.20 / $108.22	Facility		$8.23	$52.20	$108.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $4.66 / $9.30	Professional		$4.25	$4.66	$9.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $7.77 / $7.77	Professional		$3.11	$7.77	$7.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.80 / $16.14 / $54.46	Facility		$7.80	$16.14	$54.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $3.99 / $3.99	Professional		$3.50	$3.99	$3.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.40 / $12.78 / $23.83	Facility		$5.40	$12.78	$23.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.38 / $6.20 / $8.00	Professional		$3.38	$6.20	$8.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.44 / $9.07 / $60.66	Professional		$5.44	$9.07	$60.66
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 $6.73 / $6.73 / $6.73	Professional		$6.73	$6.73	$6.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.90 / $3.36 / $6.48	Professional		$1.90	$3.36	$6.48
United Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $3.15 / $5.18	Professional		$2.18	$3.15	$5.18