Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $22.95 / $30.60	Facility		$8.00	$22.95	$30.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.65 / $19.44 / $54.00	Professional		$13.65	$19.44	$54.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.66 / $20.66 / $43.76	Professional		$20.66	$20.66	$43.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.80 / $76.79 / $278.60	Facility		$28.80	$76.79	$278.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.98 / $24.31 / $25.04	Professional		$18.98	$24.31	$25.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.92 / $9.92 / $24.94	Professional		$9.92	$9.92	$24.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.66 / $30.87 / $141.38	Professional		$20.66	$30.87	$141.38
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 $31.60 / $31.60 / $31.60	Professional		$31.60	$31.60	$31.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.06 / $34.03 / $36.47	Professional		$33.06	$34.03	$36.47
United Facility/Professional Professional Modifier Low / Median / High Price $8.60 / $12.13 / $21.30	Professional		$8.60	$12.13	$21.30