Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $69.23 / $133.40	Facility		$10.19	$69.23	$133.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $5.79 / $7.79	Professional		$5.34	$5.79	$7.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $6.51 / $8.78	Professional		$3.26	$6.51	$8.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.39 / $31.81 / $88.86	Facility		$11.39	$31.81	$88.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $5.01 / $6.51	Professional		$3.50	$5.01	$6.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.81 / $16.21 / $29.78	Facility		$6.81	$16.21	$29.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $7.85 / $10.00	Professional		$4.25	$7.85	$10.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.70 / $11.39 / $75.87	Professional		$6.70	$11.39	$75.87
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 $8.46 / $8.46 / $8.46	Professional		$8.46	$8.46	$8.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $4.47 / $8.14	Professional		$3.26	$4.47	$8.14
United Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $4.15 / $7.60	Professional		$2.73	$4.15	$7.60