Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.05 / $15.05 / $15.05	Facility		$15.05	$15.05	$15.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $11.73 / $16.51	Professional		$7.97	$11.73	$16.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $16.27 / $16.27	Professional		$16.27	$16.27	$16.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.57 / $21.57 / $21.57	Facility		$21.57	$21.57	$21.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $14.02 / $14.02	Professional		$13.49	$14.02	$14.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.46 / $59.88 / $69.12	Professional		$47.46	$59.88	$69.12
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $30.00 / $2,500.00	Professional		$16.07	$30.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.36 / $11.36 / $19.69	Professional		$7.36	$11.36	$19.69