Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.41 / $14.41 / $14.41	Facility		$14.41	$14.41	$14.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $14.41 / $22.47	Professional		$11.97	$14.41	$22.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.96 / $17.96 / $17.96	Professional		$17.96	$17.96	$17.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.75 / $69.41 / $224.94	Facility		$39.75	$69.41	$224.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.03 / $19.23 / $19.23	Professional		$15.03	$19.23	$19.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.42 / $15.42 / $23.98	Facility		$15.42	$15.42	$23.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.11 / $15.42 / $29.63	Professional		$13.11	$15.42	$29.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $34.58 / $44.80	Professional		$24.37	$34.58	$44.80
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 $33.35 / $33.35 / $33.35	Professional		$33.35	$33.35	$33.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $34.88 / $38.47	Professional		$12.23	$34.88	$38.47
United Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $12.80 / $22.67	Professional		$9.02	$12.80	$22.67