Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $25.88 / $68.54	Facility		$5.05	$25.88	$68.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.61 / $3.97 / $7.64	Professional		$3.61	$3.97	$7.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.20 / $5.94 / $5.94	Professional		$2.20	$5.94	$5.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.20 / $13.45 / $45.66	Facility		$6.20	$13.45	$45.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $3.39 / $3.50	Professional		$3.04	$3.39	$3.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.59 / $10.58 / $20.85	Facility		$4.59	$10.58	$20.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $5.37 / $6.82	Professional		$2.88	$5.37	$6.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.62 / $8.52 / $63.30	Professional		$4.62	$8.52	$63.30
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 $5.72 / $5.72 / $5.72	Professional		$5.72	$5.72	$5.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.20 / $3.02 / $5.50	Professional		$2.20	$3.02	$5.50
United Facility/Professional Facility Modifier Low / Median / High Price $4.40 / $4.62 / $10.87	Facility		$4.40	$4.62	$10.87
United Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $3.15 / $5.14	Professional		$1.85	$3.15	$5.14