Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $3.98 / $8.91	Facility		$3.98	$3.98	$8.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $5.01 / $8.91	Professional		$3.02	$5.01	$8.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Professional		$5.01	$5.01	$5.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $23.99 / $75.86	Facility		$14.13	$23.99	$75.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $6.61 / $6.61	Professional		$5.25	$6.61	$6.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $5.25 / $9.77	Facility		$5.25	$5.25	$9.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.47 / $10.23	Professional		$4.47	$4.47	$10.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $11.48 / $19.50	Professional		$7.41	$11.48	$19.50
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 $11.48 / $11.48 / $11.48	Professional		$11.48	$11.48	$11.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $3.98	Professional		$3.98	$3.98	$3.98
United Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $3.39 / $8.91	Facility		$2.51	$3.39	$8.91
United Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $4.37 / $6.92	Professional		$3.09	$4.37	$6.92