Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.06 / $44.44 / $107.92	Facility		$6.06	$44.44	$107.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $3.72 / $7.44	Professional		$3.20	$3.72	$7.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.14 / $5.76	Professional		$2.14	$2.14	$5.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.47 / $17.96 / $44.24	Facility		$7.47	$17.96	$44.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $3.29 / $3.50	Professional		$2.95	$3.29	$3.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.46 / $10.24 / $19.36	Facility		$4.46	$10.24	$19.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $5.37 / $6.71	Professional		$2.79	$5.37	$6.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.48 / $8.26 / $58.56	Professional		$4.48	$8.26	$58.56
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 $2.10 / $2.93 / $4.26	Professional		$2.10	$2.93	$4.26
United Facility/Professional Professional Modifier Low / Median / High Price $1.79 / $2.72 / $4.40	Professional		$1.79	$2.72	$4.40