Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.77 / $15.72 / $42.54	Facility		$6.77	$15.72	$42.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.45 / $6.85 / $10.34	Professional		$6.45	$6.85	$10.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.72 / $8.50 / $8.50	Professional		$4.72	$8.50	$8.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.86 / $24.21 / $82.58	Facility		$11.86	$24.21	$82.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $5.42 / $6.05	Professional		$3.50	$5.42	$6.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.21 / $19.50 / $35.74	Facility		$8.21	$19.50	$35.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.14 / $9.50 / $12.01	Professional		$5.14	$9.50	$12.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.25 / $14.65 / $58.46	Professional		$8.25	$14.65	$58.46
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 $10.22 / $10.22 / $10.22	Professional		$10.22	$10.22	$10.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.93 / $4.32 / $8.04	Professional		$3.93	$4.32	$8.04
United Facility/Professional Professional Modifier Low / Median / High Price $3.30 / $5.89 / $10.86	Professional		$3.30	$5.89	$10.86