Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $41.36 / $88.75	Facility		$7.41	$41.36	$88.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.59 / $7.21	Professional		$3.02	$4.59	$7.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.18 / $3.18 / $6.36	Professional		$3.18	$3.18	$6.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.38 / $25.01 / $66.81	Facility		$9.38	$25.01	$66.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $4.08 / $5.30	Professional		$3.50	$4.08	$5.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.53 / $12.78 / $23.83	Facility		$5.53	$12.78	$23.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $6.61 / $8.26	Professional		$3.75	$6.61	$8.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.57 / $9.59 / $47.16	Professional		$5.57	$9.59	$47.16
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 $6.89 / $6.89 / $6.89	Professional		$6.89	$6.89	$6.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $3.64 / $6.63	Professional		$2.65	$3.64	$6.63
United Facility/Professional Professional Modifier Low / Median / High Price $2.23 / $3.25 / $6.19	Professional		$2.23	$3.25	$6.19