Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $21.88 / $28.84	Facility		$18.20	$21.88	$28.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $37.15	Professional		$21.88	$21.88	$37.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $19.95 / $21.88	Professional		$18.62	$19.95	$21.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $66.07 / $134.90	Facility		$44.67	$66.07	$134.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $33.88 / $75.86	Professional		$14.79	$33.88	$75.86
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 $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $36.31 / $36.31	Facility		$21.88	$36.31	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.99 / $23.99	Professional		$19.95	$23.99	$23.99