Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $123.03	Facility		$25.12	$25.12	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $7.59	Professional		$6.31	$6.31	$7.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $151.36	Facility		$44.67	$44.67	$151.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $30.90	Professional		$7.59	$7.59	$30.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $37.15 / $50.12	Professional		$27.54	$37.15	$50.12
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 $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Facility		$18.62	$18.62	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $43.65 / $43.65	Professional		$37.15	$43.65	$43.65