Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.06 / $16.53 / $80.94	Facility		$8.06	$16.53	$80.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.21 / $6.94 / $8.06	Professional		$6.21	$6.94	$8.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $12.09 / $12.09	Professional		$12.09	$12.09	$12.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.16 / $24.69 / $84.76	Facility		$12.16	$24.69	$84.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $5.56 / $6.21	Professional		$3.50	$5.56	$6.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.43 / $19.62 / $37.22	Facility		$8.43	$19.62	$37.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.27 / $9.91 / $12.41	Professional		$5.27	$9.91	$12.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.46 / $15.60 / $80.12	Professional		$8.46	$15.60	$80.12
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 $10.48 / $10.48 / $10.48	Professional		$10.48	$10.48	$10.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.03 / $5.53 / $10.08	Professional		$4.03	$5.53	$10.08
United Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $4.94 / $8.30	Professional		$3.39	$4.94	$8.30