Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.15 / $17.82 / $50.40	Professional		$12.15	$17.82	$50.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.07 / $10.07 / $10.07	Professional		$10.07	$10.07	$10.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $13.47 / $14.80	Professional		$12.58	$13.47	$14.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $18.21 / $31.82	Professional		$11.76	$18.21	$31.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $16.84 / $68.98	Professional		$11.53	$16.84	$68.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.62 / $13.82 / $15.47	Professional		$13.62	$13.82	$15.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.64 / $32.34 / $32.34	Professional		$14.64	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $14.02 / $19.87 / $32.29	Professional		$14.02	$19.87	$32.29