Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.20 / $18.89 / $88.70	Facility		$11.20	$18.89	$88.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.30 / $8.00 / $10.64	Professional		$7.30	$8.00	$10.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $5.34 / $12.02	Professional		$4.45	$5.34	$12.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.57 / $42.75 / $115.65	Facility		$15.57	$42.75	$115.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $6.85 / $8.90	Professional		$3.50	$6.85	$8.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.30 / $21.97 / $41.69	Facility		$9.30	$21.97	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.81 / $10.74 / $13.61	Professional		$5.81	$10.74	$13.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $16.84 / $125.00	Professional		$9.35	$16.84	$125.00
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 $11.57 / $11.57 / $11.57	Professional		$11.57	$11.57	$11.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.78 / $6.11 / $11.13	Professional		$3.78	$6.11	$11.13
United Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $17.80 / $17.80	Facility		$5.13	$17.80	$17.80
United Facility/Professional Professional Modifier Low / Median / High Price $3.74 / $6.52 / $10.39	Professional		$3.74	$6.52	$10.39