Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.08 / $27.53 / $119.68	Facility		$14.08	$27.53	$119.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $10.74 / $16.54	Professional		$9.27	$10.74	$16.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $14.00 / $16.27	Professional		$7.23	$14.00	$16.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.47 / $35.67 / $168.86	Facility		$17.47	$35.67	$168.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $9.27 / $12.05	Professional		$3.50	$9.27	$12.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $29.86 / $55.10	Facility		$12.59	$29.86	$55.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $14.87 / $18.59	Professional		$8.76	$14.87	$18.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.65 / $21.09 / $88.56	Professional		$12.65	$21.09	$88.56
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 $15.67 / $15.67 / $15.67	Professional		$15.67	$15.67	$15.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.43 / $8.27 / $15.06	Professional		$4.43	$8.27	$15.06
United Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $12.65 / $29.76	Facility		$12.05	$12.65	$29.76
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $7.73 / $16.84	Professional		$5.05	$7.73	$16.84