Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.78 / $52.67 / $97.02	Facility		$4.78	$52.67	$97.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.39 / $2.69 / $5.08	Professional		$2.39	$2.69	$5.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $3.59 / $4.49	Professional		$1.50	$3.59	$4.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $20.68 / $46.91	Facility		$10.19	$20.68	$46.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.29 / $3.50	Professional		$2.06	$2.29	$3.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.13 / $7.14 / $13.40	Facility		$3.13	$7.14	$13.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $3.72 / $4.65	Professional		$1.95	$3.72	$4.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.14 / $5.53 / $50.84	Professional		$3.14	$5.53	$50.84
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 $3.89 / $3.89 / $3.89	Professional		$3.89	$3.89	$3.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $2.04 / $3.13	Professional		$1.50	$2.04	$3.13
United Facility/Professional Facility Modifier Low / Median / High Price $58.85 / $92.05 / $136.90	Facility		$58.85	$92.05	$136.90
United Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $2.15 / $4.17	Professional		$1.26	$2.15	$4.17