Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.93 / $9.75 / $65.31	Facility		$4.93	$9.75	$65.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $3.81 / $5.43	Professional		$3.50	$3.81	$5.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.56 / $5.76	Professional		$2.14	$2.56	$5.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.96 / $16.14 / $59.85	Facility		$6.96	$16.14	$59.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $3.50 / $4.26	Professional		$2.95	$3.50	$4.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.46 / $10.24 / $19.36	Facility		$4.46	$10.24	$19.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $5.37 / $6.71	Professional		$2.79	$5.37	$6.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $7.47 / $73.84	Professional		$4.36	$7.47	$73.84
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 $5.55 / $5.55 / $5.55	Professional		$5.55	$5.55	$5.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $2.93 / $5.34	Professional		$1.57	$2.93	$5.34
United Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $4.26 / $5.90	Professional		$2.56	$4.26	$5.90