Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.46 / $12.46 / $12.46	Facility		$12.46	$12.46	$12.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $12.88 / $20.23	Professional		$10.98	$12.88	$20.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $18.00 / $18.00	Professional		$18.00	$18.00	$18.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.21 / $51.11 / $216.72	Facility		$30.21	$51.11	$216.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.69 / $19.14 / $19.14	Professional		$18.69	$19.14	$19.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.29 / $16.29 / $28.45	Facility		$16.29	$16.29	$28.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $11.89 / $29.54	Professional		$11.89	$11.89	$29.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.92 / $31.24 / $38.54	Professional		$24.92	$31.24	$38.54
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 $32.72 / $32.72 / $32.72	Professional		$32.72	$32.72	$32.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.17 / $14.54 / $15.26	Professional		$10.17	$14.54	$15.26
United Facility/Professional Facility Modifier Low / Median / High Price $25.18 / $37.34 / $69.40	Facility		$25.18	$37.34	$69.40
United Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $12.56 / $26.18	Professional		$10.02	$12.56	$26.18