Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.53 / $7.53 / $7.53	Facility		$7.53	$7.53	$7.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.84 / $7.53 / $13.41	Professional		$5.84	$7.53	$13.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $7.72 / $7.72	Professional		$7.72	$7.72	$7.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.67 / $36.31 / $117.64	Facility		$20.67	$36.31	$117.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.86 / $10.06 / $10.06	Professional		$7.86	$10.06	$10.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.07 / $8.07 / $14.75	Facility		$8.07	$8.07	$14.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $8.07 / $15.38	Professional		$6.86	$8.07	$15.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.18 / $34.04	Professional		$12.88	$16.18	$34.04
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 $17.43 / $17.43 / $17.43	Professional		$17.43	$17.43	$17.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.09 / $16.76 / $20.12	Professional		$6.09	$16.76	$20.12
United Facility/Professional Professional Modifier Low / Median / High Price $4.75 / $6.70 / $11.49	Professional		$4.75	$6.70	$11.49