Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.37 / $84.10 / $156.80	Facility		$6.37	$84.10	$156.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.22 / $8.42	Professional		$3.63	$4.22	$8.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.37 / $6.37 / $6.37	Professional		$6.37	$6.37	$6.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $16.14 / $66.17	Facility		$7.59	$16.14	$66.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $3.63 / $4.72	Professional		$3.50	$3.63	$4.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.94 / $11.39 / $22.34	Facility		$4.94	$11.39	$22.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $5.78 / $7.34	Professional		$3.09	$5.78	$7.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.96 / $9.14 / $50.60	Professional		$4.96	$9.14	$50.60
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 $6.14 / $6.14 / $6.14	Professional		$6.14	$6.14	$6.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $2.60 / $4.72	Professional		$1.83	$2.60	$4.72
United Facility/Professional Professional Modifier Low / Median / High Price $1.98 / $3.07 / $4.86	Professional		$1.98	$3.07	$4.86