Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $95.50 / $812.83	Facility		$33.88	$95.50	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $81.28 / $691.83	Professional		$20.42	$81.28	$691.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $14.13	Professional		$8.91	$12.02	$14.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.17 / $3.63 / $19.05	Facility		$1.17	$3.63	$19.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.14 / $0.14	Professional		$0.12	$0.14	$0.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.10 / $0.10	Facility		$0.10	$0.10	$0.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.14	Professional		$0.10	$0.10	$0.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.63 / $1.95	Professional		$0.14	$0.63	$1.95
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 $0.18 / $0.18 / $0.18	Professional		$0.18	$0.18	$0.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.20 / $0.22	Professional		$0.14	$0.20	$0.22
United Facility/Professional Facility Modifier Low / Median / High Price $0.13 / $0.21 / $0.21	Facility		$0.13	$0.21	$0.21
United Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.11 / $1.29	Professional		$0.10	$0.11	$1.29