Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.99 / $3.99 / $3.99	Facility		$3.99	$3.99	$3.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $3.99 / $7.11	Professional		$2.18	$3.99	$7.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.09 / $4.09	Professional		$4.09	$4.09	$4.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.13 / $19.26 / $62.42	Facility		$11.13	$19.26	$62.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $5.34 / $5.34	Professional		$4.26	$5.34	$5.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.28 / $4.28 / $7.83	Facility		$4.28	$4.28	$7.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.64 / $4.28 / $8.25	Professional		$3.64	$4.28	$8.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.93 / $7.83 / $14.28	Professional		$6.93	$7.83	$14.28
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 $9.26 / $9.26 / $9.26	Professional		$9.26	$9.26	$9.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $8.90 / $10.68	Professional		$3.22	$8.90	$10.68
United Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $3.55 / $6.38	Professional		$2.52	$3.55	$6.38