Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.91 / $53.12 / $97.16	Facility		$6.91	$53.12	$97.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $3.93 / $5.58	Professional		$2.40	$3.93	$5.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.25 / $6.00	Professional		$2.25	$2.25	$6.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.75 / $20.68 / $56.54	Facility		$7.75	$20.68	$56.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.48 / $3.60 / $4.51	Professional		$3.48	$3.60	$4.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.72 / $11.04 / $20.85	Facility		$4.72	$11.04	$20.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $5.37 / $6.82	Professional		$2.95	$5.37	$6.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.75 / $8.75 / $48.29	Professional		$4.75	$8.75	$48.29
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 $5.88 / $5.88 / $5.88	Professional		$5.88	$5.88	$5.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $3.10 / $5.65	Professional		$2.25	$3.10	$5.65
United Facility/Professional Professional Modifier Low / Median / High Price $1.90 / $2.88 / $4.66	Professional		$1.90	$2.88	$4.66