Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.95 / $63.27 / $132.82	Facility		$6.95	$63.27	$132.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.90 / $4.22 / $8.60	Professional		$3.90	$4.22	$8.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.38 / $5.70 / $6.00	Professional		$2.38	$5.70	$6.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.31 / $20.68 / $57.66	Facility		$8.31	$20.68	$57.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $3.66 / $4.75	Professional		$3.50	$3.66	$4.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.97 / $11.69 / $22.34	Facility		$4.97	$11.69	$22.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.40 / $5.84 / $7.34	Professional		$3.40	$5.84	$7.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.99 / $9.18 / $73.81	Professional		$4.99	$9.18	$73.81
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 $6.18 / $6.18 / $6.18	Professional		$6.18	$6.18	$6.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.38 / $3.26 / $5.94	Professional		$2.38	$3.26	$5.94
United Facility/Professional Professional Modifier Low / Median / High Price $2.85 / $4.04 / $6.64	Professional		$2.85	$4.04	$6.64