Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.86 / $3.86 / $3.86	Facility		$3.86	$3.86	$3.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $3.86 / $6.87	Professional		$2.11	$3.86	$6.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.96 / $3.96 / $3.96	Professional		$3.96	$3.96	$3.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.13 / $19.21 / $60.24	Facility		$11.13	$19.21	$60.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $5.15 / $5.15	Professional		$4.13	$5.15	$5.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.13 / $4.13 / $7.56	Facility		$4.13	$4.13	$7.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.51 / $4.13 / $7.88	Professional		$3.51	$4.13	$7.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.63 / $7.90 / $18.11	Professional		$6.63	$7.90	$18.11
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 $8.93 / $8.93 / $8.93	Professional		$8.93	$8.93	$8.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.28 / $8.59 / $10.31	Professional		$3.28	$8.59	$10.31
United Facility/Professional Professional Modifier Low / Median / High Price $2.43 / $3.43 / $5.89	Professional		$2.43	$3.43	$5.89