Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.02 / $55.59 / $173.19	Facility		$8.02	$55.59	$173.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.46 / $4.59 / $8.26	Professional		$3.46	$4.59	$8.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $3.56 / $6.91	Professional		$2.56	$3.56	$6.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.96 / $22.80 / $62.15	Facility		$8.96	$22.80	$62.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $3.94 / $5.12	Professional		$3.50	$3.94	$5.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.36 / $12.34 / $23.83	Facility		$5.36	$12.34	$23.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $6.20 / $8.00	Professional		$3.35	$6.20	$8.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.38 / $9.47 / $58.31	Professional		$5.38	$9.47	$58.31
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 $6.66 / $6.66 / $6.66	Professional		$6.66	$6.66	$6.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.44 / $2.82 / $5.12	Professional		$2.44	$2.82	$5.12
United Facility/Professional Professional Modifier Low / Median / High Price $2.15 / $3.14 / $5.98	Professional		$2.15	$3.14	$5.98