Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.17 / $16.38 / $23.35	Facility		$3.17	$16.38	$23.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.61 / $17.94 / $30.57	Professional		$13.61	$17.94	$30.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.39 / $34.39 / $34.39	Professional		$34.39	$34.39	$34.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.15 / $64.56 / $274.12	Facility		$38.15	$64.56	$274.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $24.22 / $24.22	Professional		$17.73	$24.22	$24.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.18 / $22.18 / $43.86	Facility		$22.18	$22.18	$43.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $22.18 / $37.13	Professional		$16.19	$22.18	$37.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.87 / $41.10 / $50.69	Professional		$31.87	$41.10	$50.69
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 $41.43 / $41.43 / $41.43	Professional		$41.43	$41.43	$41.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $18.38 / $19.29	Professional		$12.86	$18.38	$19.29
United Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $15.90 / $28.15	Professional		$12.35	$15.90	$28.15