Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $15.16 / $78.23	Facility		$4.90	$15.16	$78.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.15 / $3.78 / $5.53	Professional		$2.15	$3.78	$5.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.18 / $2.18	Professional		$2.18	$2.18	$2.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.61 / $20.53 / $56.54	Facility		$7.61	$20.53	$56.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $3.60 / $4.41	Professional		$3.35	$3.60	$4.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.54 / $10.41 / $19.36	Facility		$4.54	$10.41	$19.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $5.37 / $6.80	Professional		$3.22	$5.37	$6.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $8.28 / $46.25	Professional		$4.57	$8.28	$46.25
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 $5.66 / $5.66 / $5.66	Professional		$5.66	$5.66	$5.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.98 / $5.44	Professional		$2.18	$2.98	$5.44
United Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $2.61 / $4.48	Professional		$1.83	$2.61	$4.48