Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.14 / $55.22 / $117.86	Facility		$6.14	$55.22	$117.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.15 / $5.23 / $7.45	Professional		$3.15	$5.23	$7.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.07 / $3.07 / $8.00	Professional		$3.07	$3.07	$8.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.56 / $25.06 / $61.88	Facility		$10.56	$25.06	$61.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $4.50 / $4.73	Professional		$3.50	$4.50	$4.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.99 / $14.68 / $28.29	Facility		$5.99	$14.68	$28.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.71 / $7.43 / $9.28	Professional		$3.71	$7.43	$9.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.45 / $10.75 / $63.25	Professional		$6.45	$10.75	$63.25
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 $7.98 / $7.98 / $7.98	Professional		$7.98	$7.98	$7.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.07 / $4.21 / $7.68	Professional		$3.07	$4.21	$7.68
United Facility/Professional Professional Modifier Low / Median / High Price $2.58 / $3.91 / $6.14	Professional		$2.58	$3.91	$6.14