Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $17.14 / $27.28	Facility		$9.63	$17.14	$27.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $9.63 / $17.14	Professional		$5.25	$9.63	$17.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.14 / $11.14 / $11.14	Professional		$11.14	$11.14	$11.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.67 / $43.27 / $150.13	Facility		$20.67	$43.27	$150.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.03 / $12.86 / $12.86	Professional		$10.03	$12.86	$12.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.40 / $10.29 / $18.85	Facility		$5.40	$10.29	$18.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $8.75 / $19.88	Professional		$8.75	$8.75	$19.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.40 / $19.32 / $25.75	Professional		$15.40	$19.32	$25.75
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 $22.28 / $22.28 / $22.28	Professional		$22.28	$22.28	$22.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.78 / $23.31 / $25.71	Professional		$7.78	$23.31	$25.71
United Facility/Professional Professional Modifier Low / Median / High Price $6.06 / $8.55 / $14.68	Professional		$6.06	$8.55	$14.68