Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.10 / $17.57 / $4,818.24	Facility		$12.10	$17.57	$4,818.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.65 / $14.76	Professional		$10.54	$10.65	$14.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $12.12 / $12.12	Professional		$12.12	$12.12	$12.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.07 / $33.35 / $148.37	Facility		$19.07	$33.35	$148.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.97 / $15.97 / $18.03	Professional		$15.97	$15.97	$18.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $10.54 / $10.54	Facility		$10.54	$10.54	$10.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $15.41	Professional		$10.54	$10.54	$15.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $15.81 / $42.50	Professional		$10.54	$15.81	$42.50
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 $13.70 / $13.70 / $13.70	Professional		$13.70	$13.70	$13.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $18.28 / $19.59	Professional		$13.06	$18.28	$19.59
United Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $11.17 / $12.54	Professional		$10.54	$11.17	$12.54