Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.73 / $3.73 / $3.73	Facility		$3.73	$3.73	$3.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.89 / $3.73 / $6.65	Professional		$2.89	$3.73	$6.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.82 / $3.82 / $3.82	Professional		$3.82	$3.82	$3.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.53 / $17.32 / $58.34	Facility		$9.53	$17.32	$58.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $4.99 / $4.99	Professional		$3.89	$4.99	$4.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.00 / $7.32	Facility		$4.00	$4.00	$7.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.40 / $4.00 / $7.88	Professional		$3.40	$4.00	$7.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.40 / $8.14 / $13.88	Professional		$6.40	$8.14	$13.88
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 $8.65 / $8.65 / $8.65	Professional		$8.65	$8.65	$8.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.15 / $8.31 / $9.98	Professional		$3.15	$8.31	$9.98
United Facility/Professional Professional Modifier Low / Median / High Price $2.60 / $3.32 / $5.87	Professional		$2.60	$3.32	$5.87