Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.79 / $41.60 / $98.70	Facility		$5.79	$41.60	$98.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.42 / $4.61 / $6.78	Professional		$3.42	$4.61	$6.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $6.19 / $6.97	Professional		$3.10	$6.19	$6.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.02 / $22.80 / $62.64	Facility		$9.02	$22.80	$62.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $3.97 / $5.16	Professional		$3.50	$3.97	$5.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.39 / $12.78 / $23.83	Facility		$5.39	$12.78	$23.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.37 / $6.20 / $8.00	Professional		$3.37	$6.20	$8.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.42 / $9.55 / $58.56	Professional		$5.42	$9.55	$58.56
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 $6.71 / $6.71 / $6.71	Professional		$6.71	$6.71	$6.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.58 / $3.54 / $6.45	Professional		$2.58	$3.54	$6.45
United Facility/Professional Facility Modifier Low / Median / High Price $2.97 / $10.32 / $10.32	Facility		$2.97	$10.32	$10.32
United Facility/Professional Professional Modifier Low / Median / High Price $2.17 / $3.10 / $5.31	Professional		$2.17	$3.10	$5.31