Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.63 / $11.16 / $82.60	Facility		$5.63	$11.16	$82.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.58 / $4.00 / $4.88	Professional		$2.58	$4.00	$4.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $2.93 / $2.93	Professional		$2.93	$2.93	$2.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.53 / $22.80 / $61.68	Facility		$8.53	$22.80	$61.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $3.76 / $4.88	Professional		$3.50	$3.76	$4.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.11 / $11.95 / $22.34	Facility		$5.11	$11.95	$22.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.19 / $5.84 / $7.60	Professional		$3.19	$5.84	$7.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.12 / $8.53 / $23.73	Professional		$5.12	$8.53	$23.73
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 $6.34 / $6.34 / $6.34	Professional		$6.34	$6.34	$6.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.44 / $3.35 / $6.10	Professional		$2.44	$3.35	$6.10
United Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.93 / $5.71	Professional		$2.04	$2.93	$5.71