Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.65 / $22.20 / $67.14	Facility		$6.65	$22.20	$67.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.36 / $10.82 / $23.45	Professional		$6.36	$10.82	$23.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.96 / $9.18 / $11.82	Professional		$8.96	$9.18	$11.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $220.77 / $869.05	Facility		$80.00	$220.77	$869.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $65.00 / $65.00	Professional		$65.00	$65.00	$65.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.07 / $21.12 / $21.41	Facility		$12.07	$21.12	$21.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $15.42 / $21.41	Professional		$12.75	$15.42	$21.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.63 / $67.31 / $98.44	Professional		$29.63	$67.31	$98.44
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.85 / $56.38 / $65.78	Professional		$43.85	$56.38	$65.78
United Facility/Professional Facility Modifier Low / Median / High Price $5.81 / $8.00 / $8.00	Facility		$5.81	$8.00	$8.00
United Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $8.32 / $14.17	Professional		$6.30	$8.32	$14.17