Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.83 / $59.59 / $91.71	Facility		$6.83	$59.59	$91.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.56 / $7.02	Professional		$3.22	$3.56	$7.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.15 / $2.57 / $5.15	Professional		$1.15	$2.57	$5.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.37 / $19.82 / $53.66	Facility		$7.37	$19.82	$53.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.96 / $3.50 / $4.29	Professional		$2.96	$3.50	$4.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.19 / $10.24 / $19.36	Facility		$4.19	$10.24	$19.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.86 / $5.37 / $6.71	Professional		$2.86	$5.37	$6.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $7.60 / $50.27	Professional		$4.50	$7.60	$50.27
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 $5.58 / $5.58 / $5.58	Professional		$5.58	$5.58	$5.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.15 / $2.94 / $5.36	Professional		$2.15	$2.94	$5.36
United Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $3.43 / $5.15	Professional		$2.57	$3.43	$5.15