Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.95 / $39.68 / $109.56	Facility		$6.95	$39.68	$109.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.42 / $5.39 / $9.76	Professional		$4.42	$5.39	$9.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.23 / $6.47 / $7.28	Professional		$3.23	$6.47	$7.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $24.44 / $66.81	Facility		$9.27	$24.44	$66.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $4.15 / $5.39	Professional		$3.50	$4.15	$5.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $12.88 / $25.31	Facility		$5.62	$12.88	$25.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $6.61 / $8.40	Professional		$3.52	$6.61	$8.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.39 / $9.43 / $87.47	Professional		$5.39	$9.43	$87.47
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 $7.01 / $7.01 / $7.01	Professional		$7.01	$7.01	$7.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $3.70 / $6.74	Professional		$2.70	$3.70	$6.74
United Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $3.50 / $5.55	Professional		$2.25	$3.50	$5.55