Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.12 / $45.90 / $94.46	Facility		$6.12	$45.90	$94.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.08 / $4.59 / $6.48	Professional		$4.08	$4.59	$6.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $3.06 / $6.12	Professional		$3.06	$3.06	$6.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.98 / $27.19 / $67.51	Facility		$6.98	$27.19	$67.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $3.93 / $3.93	Professional		$3.50	$3.93	$3.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.31 / $12.34 / $23.83	Facility		$5.31	$12.34	$23.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $5.84 / $7.75	Professional		$3.33	$5.84	$7.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.36 / $8.93 / $94.32	Professional		$5.36	$8.93	$94.32
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 $6.63 / $6.63 / $6.63	Professional		$6.63	$6.63	$6.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.87 / $2.81 / $6.38	Professional		$1.87	$2.81	$6.38
United Facility/Professional Professional Modifier Low / Median / High Price $2.13 / $3.06 / $5.95	Professional		$2.13	$3.06	$5.95