Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.55 / $5.55 / $5.55	Facility		$5.55	$5.55	$5.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.14 / $5.55 / $9.88	Professional		$3.14	$5.55	$9.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.18 / $6.42 / $6.92	Professional		$6.18	$6.42	$6.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.90 / $27.44 / $86.76	Facility		$15.90	$27.44	$86.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.74 / $7.41 / $7.41	Professional		$5.74	$7.41	$7.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.18 / $6.18 / $11.31	Facility		$6.18	$6.18	$11.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $6.18 / $12.00	Professional		$5.25	$6.18	$12.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.89 / $14.56 / $21.20	Professional		$8.89	$14.56	$21.20
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 $12.84 / $12.84 / $13.36	Professional		$12.84	$12.84	$13.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.48 / $13.44 / $14.82	Professional		$4.48	$13.44	$14.82
United Facility/Professional Professional Modifier Low / Median / High Price $4.03 / $4.93 / $8.74	Professional		$4.03	$4.93	$8.74