Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $25.12	Facility		$12.02	$12.02	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.18 / $25.12	Professional		$10.96	$13.18	$25.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $48.98 / $169.82	Facility		$30.20	$48.98	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $19.05 / $19.05	Professional		$18.62	$19.05	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $28.84	Facility		$16.60	$16.60	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $28.18	Professional		$12.02	$12.02	$28.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $31.62 / $39.81	Professional		$22.39	$31.62	$39.81
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 $32.36 / $32.36 / $32.36	Professional		$32.36	$32.36	$32.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $14.45	Professional		$10.00	$10.00	$14.45
United Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $19.95 / $40.74	Facility		$16.22	$19.95	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.30 / $20.89	Professional		$10.23	$12.30	$20.89