Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.14 / $69.54 / $101.25	Facility		$5.14	$69.54	$101.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.35 / $2.83 / $6.80	Professional		$2.35	$2.83	$6.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.59 / $1.59 / $4.00	Professional		$1.59	$1.59	$4.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.61 / $15.77 / $43.12	Facility		$5.61	$15.77	$43.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.01 / $3.27 / $3.50	Professional		$3.01	$3.27	$3.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.32 / $7.66 / $14.89	Facility		$3.32	$7.66	$14.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $3.72 / $4.72	Professional		$2.65	$3.72	$4.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $6.12 / $53.78	Professional		$3.33	$6.12	$53.78
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 $4.12 / $4.12 / $4.12	Professional		$4.12	$4.12	$4.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.59 / $2.17 / $3.96	Professional		$1.59	$2.17	$3.96
United Facility/Professional Professional Modifier Low / Median / High Price $1.90 / $3.15 / $4.43	Professional		$1.90	$3.15	$4.43