Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.75 / $21.81 / $21.97	Facility		$19.75	$21.81	$21.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.81 / $13.30 / $21.81	Professional		$10.81	$13.30	$21.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $10.74 / $12.67	Professional		$9.44	$10.74	$12.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.87 / $46.20 / $130.68	Facility		$15.87	$46.20	$130.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $44.00 / $44.00	Professional		$37.40	$44.00	$44.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $19.14 / $19.14	Facility		$17.05	$19.14	$19.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.26 / $18.13 / $27.98	Professional		$12.26	$18.13	$27.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.85 / $19.36 / $42.45	Professional		$13.85	$19.36	$42.45
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 $14.27 / $14.55 / $17.46	Professional		$14.27	$14.55	$17.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.79 / $32.34 / $32.34	Professional		$16.79	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $17.01 / $29.80	Professional		$12.80	$17.01	$29.80