Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.38 / $8.90 / $66.73	Facility		$4.38	$8.90	$66.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.62 / $3.50 / $5.86	Professional		$2.62	$3.50	$5.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.56 / $6.41	Professional		$2.14	$2.56	$6.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.47 / $17.91 / $49.66	Facility		$7.47	$17.91	$49.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.29 / $3.60 / $4.26	Professional		$3.29	$3.60	$4.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.92 / $10.23 / $19.36	Facility		$3.92	$10.23	$19.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $5.01 / $6.71	Professional		$3.44	$5.01	$6.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.38 / $6.94 / $73.97	Professional		$4.38	$6.94	$73.97
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 $5.55 / $5.55 / $5.55	Professional		$5.55	$5.55	$5.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.41 / $4.48	Professional		$2.14	$2.41	$4.48
United Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $3.20 / $4.96	Professional		$2.14	$3.20	$4.96