Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.09 / $13.09 / $23.32	Facility		$13.09	$13.09	$23.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.21 / $32.76	Professional		$12.88	$15.21	$32.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.11 / $20.11 / $20.11	Professional		$20.11	$20.11	$20.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.20 / $73.61 / $267.16	Facility		$27.20	$73.61	$267.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.22 / $23.32 / $23.32	Professional		$18.22	$23.32	$23.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $9.51 / $23.91	Professional		$9.51	$9.51	$23.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $29.62 / $105.75	Professional		$19.82	$29.62	$105.75
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 $30.32 / $30.32 / $30.32	Professional		$30.32	$30.32	$30.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.72 / $32.65 / $34.97	Professional		$31.72	$32.65	$34.97
United Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $11.63 / $19.96	Professional		$8.24	$11.63	$19.96