Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.49 / $5.49 / $5.49	Facility		$5.49	$5.49	$5.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $5.49 / $9.77	Professional		$3.00	$5.49	$9.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.35 / $6.35 / $6.36	Professional		$6.35	$6.35	$6.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.44 / $56.56 / $113.26	Facility		$26.44	$56.56	$113.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.67 / $7.33 / $7.33	Professional		$4.67	$7.33	$7.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.83 / $5.87 / $10.77	Facility		$5.83	$5.87	$10.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.99 / $5.83 / $11.25	Professional		$4.99	$5.83	$11.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $11.29 / $13.68	Professional		$9.42	$11.29	$13.68
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 $12.70 / $12.70 / $12.73	Professional		$12.70	$12.70	$12.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.43 / $12.21 / $14.66	Professional		$4.43	$12.21	$14.66
United Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $4.87 / $8.36	Professional		$3.44	$4.87	$8.36