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 / $8.51	Professional		$5.01	$5.01	$8.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $21.88 / $75.86	Facility		$12.59	$21.88	$75.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $6.46 / $6.46	Professional		$5.13	$6.46	$6.46
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 / $9.55	Professional		$4.47	$4.47	$9.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.72 / $20.89	Professional		$8.32	$10.72	$20.89
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 $11.22 / $11.22 / $11.22	Professional		$11.22	$11.22	$11.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.17 / $4.17	Professional		$4.17	$4.17	$4.17
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