Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.12 / $5.12 / $5.12	Facility		$5.12	$5.12	$5.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.96 / $5.12 / $9.10	Professional		$3.96	$5.12	$9.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.23 / $6.38 / $6.38	Professional		$5.23	$6.38	$6.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.31 / $24.69 / $79.69	Facility		$14.31	$24.69	$79.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.47 / $6.83 / $6.83	Professional		$5.47	$6.83	$6.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.47 / $5.47 / $10.02	Facility		$5.47	$5.47	$10.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.65 / $5.47 / $10.50	Professional		$4.65	$5.47	$10.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $12.75 / $19.70	Professional		$9.11	$12.75	$19.70
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 $11.84 / $11.84 / $11.84	Professional		$11.84	$11.84	$11.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $11.39 / $13.67	Professional		$4.32	$11.39	$13.67
United Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $4.54 / $7.97	Professional		$3.22	$4.54	$7.97