Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.47 / $14.76 / $91.70	Facility		$6.47	$14.76	$91.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.31 / $5.77 / $14.76	Professional		$5.31	$5.77	$14.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.91 / $2.91 / $8.73	Professional		$2.91	$2.91	$8.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.41 / $21.52 / $67.97	Facility		$10.41	$21.52	$67.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $4.73 / $4.98	Professional		$3.50	$4.73	$4.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $16.21 / $29.78	Facility		$6.76	$16.21	$29.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $7.51 / $10.00	Professional		$4.23	$7.51	$10.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.79 / $12.53 / $120.19	Professional		$6.79	$12.53	$120.19
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 $8.41 / $8.41 / $8.41	Professional		$8.41	$8.41	$8.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $4.44 / $8.09	Professional		$3.24	$4.44	$8.09
United Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $4.63 / $9.99	Professional		$2.72	$4.63	$9.99