Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.61 / $47.88 / $125.52	Facility		$8.61	$47.88	$125.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.15 / $5.98 / $6.87	Professional		$5.15	$5.98	$6.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $3.44 / $9.27	Professional		$3.44	$3.44	$9.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.81 / $29.09 / $71.06	Facility		$11.81	$29.09	$71.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $4.74 / $5.29	Professional		$3.50	$4.74	$5.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.17 / $16.89 / $31.27	Facility		$7.17	$16.89	$31.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.49 / $7.93 / $10.40	Professional		$4.49	$7.93	$10.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.21 / $12.69 / $69.86	Professional		$7.21	$12.69	$69.86
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 $8.93 / $8.93 / $8.93	Professional		$8.93	$8.93	$8.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $3.78 / $7.05	Professional		$3.44	$3.78	$7.05
United Facility/Professional Professional Modifier Low / Median / High Price $2.89 / $4.66 / $6.87	Professional		$2.89	$4.66	$6.87