Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $6.03 / $16.98	Professional		$3.98	$6.03	$16.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $41.69 / $63.10	Professional		$8.91	$41.69	$63.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.72 / $10.72	Professional		$8.71	$10.72	$10.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $8.13 / $17.38	Professional		$4.90	$8.13	$17.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $26.30 / $39.81	Professional		$9.33	$26.30	$39.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.48 / $12.88	Professional		$11.22	$11.48	$12.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $32.36 / $33.11	Professional		$19.95	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $5.89 / $10.00	Professional		$3.89	$5.89	$10.00