Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.94 / $43.07 / $161.91	Facility		$10.94	$43.07	$161.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $6.13 / $11.27	Professional		$5.34	$6.13	$11.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.37 / $4.49 / $10.10	Professional		$3.37	$4.49	$10.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.09 / $32.29 / $90.80	Facility		$13.09	$32.29	$90.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $5.76 / $7.48	Professional		$3.50	$5.76	$7.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.29 / $17.88 / $34.25	Facility		$7.29	$17.88	$34.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $9.09 / $11.36	Professional		$4.51	$9.09	$11.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $13.34 / $77.42	Professional		$7.85	$13.34	$77.42
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 $9.72 / $9.72 / $9.72	Professional		$9.72	$9.72	$9.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.74 / $5.13 / $9.35	Professional		$3.74	$5.13	$9.35
United Facility/Professional Professional Modifier Low / Median / High Price $3.14 / $4.76 / $7.70	Professional		$3.14	$4.76	$7.70