Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.79 / $10.79 / $10.79	Facility		$10.79	$10.79	$10.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.85 / $10.79 / $19.59	Professional		$6.85	$10.79	$19.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.53 / $14.53 / $14.53	Professional		$14.53	$14.53	$14.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.26 / $48.52 / $168.36	Facility		$22.26	$48.52	$168.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.44 / $14.41 / $14.41	Professional		$11.44	$14.41	$14.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.66 / $13.44 / $24.60	Facility		$9.66	$13.44	$24.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.42 / $11.42 / $24.75	Professional		$11.42	$11.42	$24.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.54 / $24.69 / $39.08	Professional		$18.54	$24.69	$39.08
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 $24.97 / $24.97 / $29.07	Professional		$24.97	$24.97	$29.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.14 / $26.13 / $28.82	Professional		$9.14	$26.13	$28.82
United Facility/Professional Facility Modifier Low / Median / High Price $6.43 / $8.61 / $19.21	Facility		$6.43	$8.61	$19.21
United Facility/Professional Professional Modifier Low / Median / High Price $7.42 / $9.58 / $16.97	Professional		$7.42	$9.58	$16.97