Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.15 / $38.69 / $110.33	Facility		$5.15	$38.69	$110.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.48 / $7.08	Professional		$3.22	$3.48	$7.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.06 / $1.06 / $1.06	Professional		$1.06	$1.06	$1.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.32 / $13.72 / $55.08	Facility		$6.32	$13.72	$55.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.03 / $3.50 / $3.93	Professional		$3.03	$3.50	$3.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.11 / $9.38 / $17.87	Facility		$4.11	$9.38	$17.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $4.96 / $6.20	Professional		$2.56	$4.96	$6.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $7.59 / $63.25	Professional		$4.13	$7.59	$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 $5.11 / $5.11 / $5.11	Professional		$5.11	$5.11	$5.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.61 / $2.16 / $4.91	Professional		$1.61	$2.16	$4.91
United Facility/Professional Professional Modifier Low / Median / High Price $2.36 / $3.44 / $5.48	Professional		$2.36	$3.44	$5.48