Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.42 / $11.76 / $41.25	Facility		$6.42	$11.76	$41.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.30 / $5.56	Professional		$4.13	$4.30	$5.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.48 / $3.64	Professional		$3.00	$3.48	$3.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.94 / $16.14 / $56.23	Facility		$8.94	$16.14	$56.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $4.28 / $5.56	Professional		$3.50	$4.28	$5.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.24 / $13.28 / $25.31	Facility		$5.24	$13.28	$25.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $6.43 / $8.26	Professional		$3.10	$6.43	$8.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.84 / $9.69 / $37.95	Professional		$5.84	$9.69	$37.95
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 $7.23 / $7.23 / $7.23	Professional		$7.23	$7.23	$7.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $3.69 / $6.95	Professional		$2.04	$3.69	$6.95
United Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $3.34 / $5.56	Professional		$2.34	$3.34	$5.56