Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.88 / $7.44 / $79.80	Facility		$3.88	$7.44	$79.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.91 / $3.78 / $7.44	Professional		$2.91	$3.78	$7.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Professional		$2.00	$2.00	$2.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.36 / $15.77 / $45.66	Facility		$6.36	$15.77	$45.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $3.60 / $4.13	Professional		$3.10	$3.60	$4.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.49 / $9.60 / $17.87	Facility		$3.49	$9.60	$17.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $4.68 / $6.20	Professional		$2.31	$4.68	$6.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $6.43 / $40.22	Professional		$4.13	$6.43	$40.22
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 $5.23 / $5.23 / $5.23	Professional		$5.23	$5.23	$5.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $2.76 / $5.03	Professional		$1.48	$2.76	$5.03
United Facility/Professional Facility Modifier Low / Median / High Price $5.32 / $5.32 / $5.32	Facility		$5.32	$5.32	$5.32
United Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $3.15 / $4.54	Professional		$2.41	$3.15	$4.54