Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $7.94 / $7.94	Facility		$6.03	$7.94	$7.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.08 / $12.59	Professional		$5.01	$7.08	$12.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $12.30	Professional		$7.08	$7.08	$12.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $32.36 / $107.15	Facility		$19.05	$32.36	$107.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $9.12 / $9.12	Professional		$7.41	$9.12	$9.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $7.41 / $13.80	Facility		$7.41	$7.41	$13.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $13.49	Professional		$6.31	$6.31	$13.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $14.13 / $23.44	Professional		$11.75	$14.13	$23.44
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 $15.85 / $15.85 / $15.85	Professional		$15.85	$15.85	$15.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $5.89 / $5.89	Professional		$5.89	$5.89	$5.89
United Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $4.79 / $12.59	Facility		$3.55	$4.79	$12.59
United Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $6.17 / $9.55	Professional		$4.37	$6.17	$9.55