Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.35 / $39.34 / $74.88	Facility		$5.35	$39.34	$74.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $3.28 / $4.82	Professional		$1.95	$3.28	$4.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.20 / $4.95 / $4.95	Professional		$2.20	$4.95	$4.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.28 / $17.66 / $49.96	Facility		$6.28	$17.66	$49.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.83 / $3.60 / $3.78	Professional		$2.83	$3.60	$3.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.84 / $8.94 / $16.38	Facility		$3.84	$8.94	$16.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $4.54 / $5.68	Professional		$2.40	$4.54	$5.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.85 / $6.94 / $42.03	Professional		$3.85	$6.94	$42.03
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 $4.76 / $4.76 / $4.76	Professional		$4.76	$4.76	$4.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.84 / $2.52 / $4.59	Professional		$1.84	$2.52	$4.59
United Facility/Professional Professional Modifier Low / Median / High Price $1.54 / $2.34 / $3.78	Professional		$1.54	$2.34	$3.78