Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.91 / $4.91 / $4.91	Facility		$4.91	$4.91	$4.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.08 / $4.91 / $8.75	Professional		$4.08	$4.91	$8.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.04 / $5.04 / $5.04	Professional		$5.04	$5.04	$5.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.31 / $24.69 / $76.84	Facility		$14.31	$24.69	$76.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.26 / $6.57 / $6.57	Professional		$5.26	$6.57	$6.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.26 / $5.26 / $9.64	Facility		$5.26	$5.26	$9.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $5.26 / $10.13	Professional		$4.47	$5.26	$10.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $10.99 / $20.23	Professional		$8.15	$10.99	$20.23
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 $11.39 / $11.39 / $11.39	Professional		$11.39	$11.39	$11.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $10.95 / $13.14	Professional		$3.98	$10.95	$13.14
United Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $4.37 / $7.74	Professional		$3.10	$4.37	$7.74