Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.01 / $9.33	Facility		$5.01	$5.01	$9.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $5.01 / $9.33	Professional		$3.02	$5.01	$9.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $6.46	Professional		$5.25	$5.25	$6.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $23.99 / $79.43	Facility		$14.13	$23.99	$79.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $6.76 / $6.76	Professional		$5.50	$6.76	$6.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $5.50 / $10.23	Facility		$5.50	$5.50	$10.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $4.68 / $10.00	Professional		$4.68	$4.68	$10.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.88 / $19.50	Professional		$9.12	$12.88	$19.50
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 $11.75 / $11.75 / $11.75	Professional		$11.75	$11.75	$11.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.37 / $4.37	Professional		$4.37	$4.37	$4.37
United Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $3.55 / $9.33	Facility		$2.63	$3.55	$9.33
United Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $4.57 / $7.08	Professional		$3.24	$4.57	$7.08