Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.83 / $18.57 / $28.65	Facility		$7.83	$18.57	$28.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.10 / $7.39 / $9.55	Professional		$7.10	$7.39	$9.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.97 / $6.25	Professional		$5.73	$5.97	$6.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.72 / $26.90 / $96.67	Facility		$13.72	$26.90	$96.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $7.35 / $9.55	Professional		$3.50	$7.35	$9.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.01 / $22.85 / $44.67	Facility		$9.01	$22.85	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.33 / $11.56 / $14.45	Professional		$5.33	$11.56	$14.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $16.69 / $63.25	Professional		$10.02	$16.69	$63.25
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 $12.42 / $12.42 / $12.42	Professional		$12.42	$12.42	$12.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $5.25 / $7.02	Professional		$3.50	$5.25	$7.02
United Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $5.73 / $9.84	Professional		$4.01	$5.73	$9.84