Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.30 / $59.60 / $92.31	Facility		$4.30	$59.60	$92.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $2.40 / $6.09	Professional		$2.11	$2.40	$6.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.35 / $3.65	Professional		$1.35	$1.35	$3.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.88 / $13.30 / $35.97	Facility		$4.88	$13.30	$35.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $2.78 / $3.50	Professional		$2.70	$2.78	$3.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $6.49 / $11.91	Facility		$2.82	$6.49	$11.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $3.01 / $4.13	Professional		$1.86	$3.01	$4.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.84 / $5.22 / $51.50	Professional		$2.84	$5.22	$51.50
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 $3.51 / $3.51 / $3.51	Professional		$3.51	$3.51	$3.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.85 / $3.38	Professional		$1.35	$1.85	$3.38
United Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $2.02 / $2.78	Professional		$1.12	$2.02	$2.78