Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $194.98 / $194.98	Facility		$14.13	$194.98	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $18.20	Professional		$10.96	$14.13	$18.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.24 / $3.24	Professional		$3.24	$3.24	$3.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $47.86	Facility		$18.62	$18.62	$47.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $9.12 / $9.12	Professional		$7.76	$9.12	$9.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $7.24 / $7.24	Facility		$7.24	$7.24	$7.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $10.00 / $16.60	Professional		$5.25	$10.00	$16.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $28.84 / $50.12	Professional		$12.30	$28.84	$50.12
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 $9.33 / $100.00 / $128.82	Facility		$9.33	$100.00	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $6.31 / $10.00	Professional		$4.57	$6.31	$10.00