Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $16.98 / $36.31	Facility		$3.02	$16.98	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $12.88 / $33.88	Professional		$3.02	$12.88	$33.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $14.45	Professional		$10.00	$12.02	$14.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $64.57 / $123.03	Facility		$23.99	$64.57	$123.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.94 / $7.94	Professional		$5.01	$7.94	$7.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $12.02 / $26.92	Professional		$11.22	$12.02	$26.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $18.62 / $34.67	Professional		$12.30	$18.62	$34.67
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 $14.45 / $14.45 / $15.85	Professional		$14.45	$14.45	$15.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Facility		$11.75	$11.75	$11.75
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.30 / $19.50	Professional		$8.51	$12.30	$19.50