Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $11.25 / $22.85	Facility		$5.05	$11.25	$22.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $5.01 / $9.75	Professional		$4.46	$5.01	$9.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.34 / $3.34 / $3.34	Professional		$3.34	$3.34	$3.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.96 / $19.21 / $58.55	Facility		$8.96	$19.21	$58.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $4.29 / $4.29	Professional		$3.50	$4.29	$4.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.82 / $13.64 / $25.31	Facility		$5.82	$13.64	$25.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.64 / $6.61 / $8.40	Professional		$3.64	$6.61	$8.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.85 / $10.79 / $78.01	Professional		$5.85	$10.79	$78.01
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 $7.24 / $7.24 / $7.24	Professional		$7.24	$7.24	$7.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.59 / $2.79 / $5.57	Professional		$0.59	$2.79	$5.57
United Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $3.55 / $6.51	Professional		$2.34	$3.55	$6.51