Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.52 / $8.52 / $15.20	Facility		$8.52	$8.52	$15.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $13.94 / $25.00	Professional		$8.52	$13.94	$25.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.40 / $11.40 / $14.46	Professional		$11.40	$11.40	$14.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $26.62 / $161.80	Facility		$17.27	$26.62	$161.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $15.20 / $15.66	Professional		$11.87	$15.20	$15.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $6.20 / $15.58	Professional		$6.20	$6.20	$15.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.92 / $19.30 / $76.51	Professional		$12.92	$19.30	$76.51
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 $19.76 / $19.76 / $19.76	Professional		$19.76	$19.76	$19.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.67 / $21.28 / $22.80	Professional		$20.67	$21.28	$22.80
United Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $7.57 / $13.41	Professional		$6.44	$7.57	$13.41