Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.35 / $20.35 / $20.35	Facility		$20.35	$20.35	$20.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.26 / $20.35 / $31.73	Professional		$11.26	$20.35	$31.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.91 / $25.91 / $25.91	Professional		$25.91	$25.91	$25.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.93 / $91.53 / $317.56	Facility		$42.93	$91.53	$317.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $27.18 / $27.18	Professional		$19.82	$27.18	$27.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.26 / $24.26 / $39.86	Facility		$24.26	$24.26	$39.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.71 / $24.26 / $42.00	Professional		$17.71	$24.26	$42.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $34.96 / $43.49 / $74.30	Professional		$34.96	$43.49	$74.30
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 $47.11 / $47.11 / $47.11	Professional		$47.11	$47.11	$47.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $31.90 / $53.27	Professional		$21.27	$31.90	$53.27
United Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $18.07 / $32.01	Professional		$13.56	$18.07	$32.01