Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.24 / $13.32 / $58.40	Facility		$10.24	$13.32	$58.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $15.66 / $43.09	Professional		$10.24	$15.66	$43.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.83 / $17.35 / $17.35	Professional		$13.83	$17.35	$17.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.80 / $57.39 / $208.89	Facility		$20.80	$57.39	$208.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.24 / $18.23 / $18.23	Professional		$14.24	$18.23	$18.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $7.44 / $18.70	Professional		$7.44	$7.44	$18.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $23.15 / $83.83	Professional		$15.50	$23.15	$83.83
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 $23.70 / $23.70 / $23.70	Professional		$23.70	$23.70	$23.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.79 / $25.52 / $27.35	Professional		$24.79	$25.52	$27.35
United Facility/Professional Professional Modifier Low / Median / High Price $6.45 / $9.10 / $15.97	Professional		$6.45	$9.10	$15.97