Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.09 / $39.60 / $81.59	Facility		$5.09	$39.60	$81.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $3.52 / $5.20	Professional		$2.29	$3.52	$5.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.98 / $2.37 / $4.74	Professional		$1.98	$2.37	$4.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.91 / $18.64 / $51.40	Facility		$6.91	$18.64	$51.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.32 / $3.50 / $3.95	Professional		$3.32	$3.50	$3.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.13 / $9.46 / $17.87	Facility		$4.13	$9.46	$17.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.86 / $4.96 / $6.20	Professional		$2.86	$4.96	$6.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.15 / $7.63 / $41.09	Professional		$4.15	$7.63	$41.09
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 $5.14 / $5.14 / $5.14	Professional		$5.14	$5.14	$5.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.98 / $2.71 / $4.94	Professional		$1.98	$2.71	$4.94
United Facility/Professional Professional Modifier Low / Median / High Price $1.66 / $2.42 / $4.61	Professional		$1.66	$2.42	$4.61