Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.46 / $29.04 / $82.50	Facility		$5.46	$29.04	$82.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.21 / $3.53 / $7.08	Professional		$3.21	$3.53	$7.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.96 / $4.70 / $5.00	Professional		$1.96	$4.70	$5.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.58 / $14.56 / $46.26	Facility		$5.58	$14.56	$46.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.60 / $4.04	Professional		$3.02	$3.60	$4.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $9.38 / $17.87	Facility		$4.09	$9.38	$17.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.86 / $4.96 / $6.20	Professional		$2.86	$4.96	$6.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.12 / $7.32 / $83.45	Professional		$4.12	$7.32	$83.45
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 $5.09 / $5.09 / $5.09	Professional		$5.09	$5.09	$5.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.96 / $2.69 / $4.90	Professional		$1.96	$2.69	$4.90
United Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $2.69 / $3.92	Facility		$2.69	$2.69	$3.92
United Facility/Professional Professional Modifier Low / Median / High Price $2.35 / $3.29 / $4.70	Professional		$2.35	$3.29	$4.70