Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.99 / $14.86 / $32.76	Facility		$11.99	$14.86	$32.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.99 / $12.28 / $14.53	Professional		$11.99	$12.28	$14.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.62 / $15.62 / $15.62	Professional		$15.62	$15.62	$15.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.62 / $64.95 / $309.79	Facility		$42.62	$64.95	$309.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $11.66 / $11.66	Professional		$10.33	$11.66	$11.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.28 / $12.28 / $12.28	Facility		$12.28	$12.28	$12.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.28 / $18.38	Professional		$12.28	$12.28	$18.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $31.20 / $69.20	Professional		$12.28	$31.20	$69.20
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 $15.96 / $15.96 / $15.96	Professional		$15.96	$15.96	$15.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.20 / $19.88 / $21.30	Professional		$14.20	$19.88	$21.30
United Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $13.02 / $14.61	Professional		$12.28	$13.02	$14.61