Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.93 / $13.78 / $37.29	Facility		$5.93	$13.78	$37.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.31 / $6.14 / $12.00	Professional		$5.31	$6.14	$12.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.13 / $4.13	Professional		$4.13	$4.13	$4.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.02 / $21.94 / $72.48	Facility		$11.02	$21.94	$72.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $5.31 / $5.31	Professional		$3.50	$5.31	$5.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.20 / $16.89 / $31.27	Facility		$7.20	$16.89	$31.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $8.26 / $10.40	Professional		$4.50	$8.26	$10.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $13.33 / $108.16	Professional		$7.23	$13.33	$108.16
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 $8.96 / $8.96 / $8.96	Professional		$8.96	$8.96	$8.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.53 / $3.45 / $8.61	Professional		$2.53	$3.45	$8.61
United Facility/Professional Professional Modifier Low / Median / High Price $2.89 / $4.48 / $8.03	Professional		$2.89	$4.48	$8.03