Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.60 / $27.66 / $86.81	Facility		$8.60	$27.66	$86.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.48 / $6.02 / $12.12	Professional		$5.48	$6.02	$12.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.01 / $4.01	Professional		$4.01	$4.01	$4.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.75 / $21.52 / $70.16	Facility		$10.75	$21.52	$70.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $5.14 / $5.14	Professional		$3.50	$5.14	$5.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.97 / $16.21 / $31.27	Facility		$6.97	$16.21	$31.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $8.26 / $10.40	Professional		$4.36	$8.26	$10.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.01 / $12.92 / $73.83	Professional		$7.01	$12.92	$73.83
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 $8.68 / $8.68 / $8.68	Professional		$8.68	$8.68	$8.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.34 / $4.58 / $8.35	Professional		$3.34	$4.58	$8.35
United Facility/Professional Professional Modifier Low / Median / High Price $2.81 / $4.26 / $6.88	Professional		$2.81	$4.26	$6.88