Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.46 / $9.50 / $44.78	Facility		$4.46	$9.50	$44.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.71 / $4.01 / $5.89	Professional		$3.71	$4.01	$5.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.78 / $2.78 / $2.78	Professional		$2.78	$2.78	$2.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.47 / $13.72 / $48.73	Facility		$7.47	$13.72	$48.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $3.57 / $3.60	Professional		$3.20	$3.57	$3.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.84 / $11.11 / $20.85	Facility		$4.84	$11.11	$20.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.34 / $5.42 / $7.23	Professional		$3.34	$5.42	$7.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $8.96 / $94.95	Professional		$4.87	$8.96	$94.95
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 $6.03 / $6.03 / $6.03	Professional		$6.03	$6.03	$6.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $3.18 / $5.80	Professional		$2.31	$3.18	$5.80
United Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $3.11 / $5.41	Professional		$1.95	$3.11	$5.41