Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $16.60 / $16.60	Facility		$12.30	$16.60	$16.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.95 / $26.92	Professional		$14.13	$19.95	$26.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $28.18 / $50.12	Facility		$15.49	$28.18	$50.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $18.62 / $22.91	Professional		$16.60	$18.62	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $21.88	Professional		$15.14	$15.14	$21.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $22.39 / $43.65	Professional		$14.13	$22.39	$43.65
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 $18.62 / $18.62 / $22.39	Professional		$18.62	$18.62	$22.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $32.36 / $33.11	Professional		$26.30	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $14.79 / $16.60	Facility		$13.49	$14.79	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $17.78 / $29.51	Professional		$12.88	$17.78	$29.51