Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.63 / $8.63 / $16.30	Facility		$8.63	$8.63	$16.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $14.62 / $25.53	Professional		$7.77	$14.62	$25.53
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $12.53 / $12.53 / $12.53	Professional	25	$12.53	$12.53	$12.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.99 / $15.99 / $18.28	Professional		$15.99	$15.99	$18.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.99 / $44.68 / $58.38	Facility		$35.99	$44.68	$58.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.37 / $17.09 / $24.40	Professional		$10.37	$17.09	$24.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.08 / $12.08 / $12.08	Facility		$12.08	$12.08	$12.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $15.77 / $21.07	Professional		$15.77	$15.77	$21.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $18.66 / $38.70	Professional		$9.16	$18.66	$38.70
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 $10.93 / $11.22 / $23.10	Professional		$10.93	$11.22	$23.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.82 / $32.34 / $32.34	Professional		$22.82	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $22.37 / $37.76	Professional		$16.82	$22.37	$37.76