Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.34 / $11.25 / $25.75	Facility		$6.34	$11.25	$25.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.30 / $5.49	Professional		$4.13	$4.30	$5.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.96 / $3.29 / $3.64	Professional		$2.96	$3.29	$3.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.83 / $16.46 / $56.23	Facility		$8.83	$16.46	$56.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $4.23 / $5.49	Professional		$3.50	$4.23	$5.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.24 / $13.14 / $25.31	Facility		$5.24	$13.14	$25.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $6.61 / $8.26	Professional		$3.10	$6.61	$8.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.76 / $9.30 / $33.52	Professional		$5.76	$9.30	$33.52
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 $7.14 / $7.14 / $7.14	Professional		$7.14	$7.14	$7.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.77 / $6.86	Professional		$2.75	$3.77	$6.86
United Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $3.29 / $5.77	Professional		$2.31	$3.29	$5.77