Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.20 / $5.29 / $10.58	Facility		$5.20	$5.29	$10.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.84 / $5.20 / $8.11	Professional		$2.84	$5.20	$8.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.12 / $5.37 / $6.03	Professional		$5.12	$5.37	$6.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.13 / $23.40 / $81.19	Facility		$11.13	$23.40	$81.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.75 / $6.95 / $6.95	Professional		$4.75	$6.95	$6.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $5.57 / $10.19	Facility		$4.00	$5.57	$10.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.73 / $4.73 / $10.50	Professional		$4.73	$4.73	$10.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $10.19 / $18.71	Professional		$7.88	$10.19	$18.71
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 $12.05 / $12.05 / $12.05	Professional		$12.05	$12.05	$12.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.41 / $12.61 / $13.91	Professional		$4.41	$12.61	$13.91
United Facility/Professional Professional Modifier Low / Median / High Price $3.28 / $4.62 / $8.94	Professional		$3.28	$4.62	$8.94