Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.48 / $36.78 / $95.53	Facility		$7.48	$36.78	$95.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.27 / $4.51 / $6.66	Professional		$3.27	$4.51	$6.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $3.11 / $3.11	Professional		$3.11	$3.11	$3.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.06 / $22.80 / $62.88	Facility		$9.06	$22.80	$62.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $3.99 / $5.18	Professional		$3.50	$3.99	$5.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.40 / $12.78 / $23.83	Facility		$5.40	$12.78	$23.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.38 / $6.20 / $8.00	Professional		$3.38	$6.20	$8.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.44 / $9.07 / $68.78	Professional		$5.44	$9.07	$68.78
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 $6.73 / $6.73 / $6.73	Professional		$6.73	$6.73	$6.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $3.55 / $6.48	Professional		$2.59	$3.55	$6.48
United Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $3.11 / $5.34	Professional		$2.18	$3.11	$5.34