Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.44 / $17.20 / $63.42	Facility		$4.44	$17.20	$63.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $3.12 / $5.21	Professional		$2.93	$3.12	$5.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.13 / $5.13	Professional		$5.13	$5.13	$5.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.65 / $17.14 / $46.41	Facility		$6.65	$17.14	$46.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.32 / $3.60 / $3.91	Professional		$3.32	$3.60	$3.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.71 / $9.09 / $17.87	Facility		$3.71	$9.09	$17.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $4.54 / $5.77	Professional		$2.25	$4.54	$5.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.99 / $6.66 / $42.20	Professional		$3.99	$6.66	$42.20
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 $4.94 / $4.94 / $4.94	Professional		$4.94	$4.94	$4.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.90 / $2.61 / $4.75	Professional		$1.90	$2.61	$4.75
United Facility/Professional Professional Modifier Low / Median / High Price $1.60 / $2.41 / $3.91	Professional		$1.60	$2.41	$3.91