Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.84 / $9.60 / $58.40	Facility		$6.84	$9.60	$58.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.84 / $8.77 / $23.43	Professional		$6.84	$8.77	$23.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.14 / $9.14 / $10.51	Professional		$9.14	$9.14	$10.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.40 / $38.45 / $139.66	Facility		$14.40	$38.45	$139.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $12.19 / $12.19	Professional		$9.52	$12.19	$12.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.97 / $4.97 / $12.50	Professional		$4.97	$4.97	$12.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $15.48 / $55.36	Professional		$10.36	$15.48	$55.36
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 $15.85 / $15.85 / $15.85	Professional		$15.85	$15.85	$15.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $17.07 / $18.29	Professional		$16.57	$17.07	$18.29
United Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $6.08 / $10.67	Professional		$4.30	$6.08	$10.67