Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.71 / $15.57 / $95.69	Facility		$7.71	$15.57	$95.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $6.94 / $13.96	Professional		$4.50	$6.94	$13.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.86 / $9.25 / $10.41	Professional		$3.86	$9.25	$10.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.61 / $24.21 / $81.08	Facility		$11.61	$24.21	$81.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $5.94 / $5.94	Professional		$3.50	$5.94	$5.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.06 / $18.76 / $35.74	Facility		$8.06	$18.76	$35.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.04 / $9.50 / $11.88	Professional		$5.04	$9.50	$11.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.10 / $14.92 / $90.41	Professional		$8.10	$14.92	$90.41
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 $10.02 / $10.02 / $10.02	Professional		$10.02	$10.02	$10.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.86 / $5.29 / $9.64	Professional		$3.86	$5.29	$9.64
United Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $5.86 / $8.40	Professional		$3.24	$5.86	$8.40