Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $16.22 / $61.66	Facility		$15.85	$16.22	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $34.67	Professional		$15.85	$15.85	$34.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Professional		$11.22	$11.22	$11.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $79.43 / $301,995.17	Facility		$28.18	$79.43	$301,995.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $23.44 / $61.66	Professional		$14.79	$23.44	$61.66
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 $17.38 / $17.78 / $19.05	Professional		$17.38	$17.78	$19.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $21.38 / $21.38	Facility		$12.02	$21.38	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $14.79 / $16.22	Professional		$13.49	$14.79	$16.22