Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.38 / $37.76 / $83.08	Facility		$5.38	$37.76	$83.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $3.28 / $8.30	Professional		$2.69	$3.28	$8.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.21 / $3.21 / $3.21	Professional		$3.21	$3.21	$3.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.65 / $8.22 / $39.81	Facility		$4.65	$8.22	$39.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $3.38 / $3.55	Professional		$2.98	$3.38	$3.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.58 / $7.66 / $14.89	Facility		$2.58	$7.66	$14.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $3.72 / $5.16	Professional		$2.65	$3.72	$5.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $4.92 / $22.12	Professional		$3.35	$4.92	$22.12
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 $4.26 / $4.26 / $4.26	Professional		$4.26	$4.26	$4.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $1.80 / $4.09	Professional		$1.20	$1.80	$4.09
United Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $2.04 / $3.45	Professional		$1.91	$2.04	$3.45