Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.68 / $6.68 / $6.68	Facility		$6.68	$6.68	$6.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.18 / $6.68 / $11.90	Professional		$5.18	$6.68	$11.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.85 / $6.85 / $6.85	Professional		$6.85	$6.85	$6.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.07 / $32.93 / $104.17	Facility		$19.07	$32.93	$104.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.97 / $8.93 / $8.93	Professional		$6.97	$8.93	$8.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.15 / $7.15 / $13.09	Facility		$7.15	$7.15	$13.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $7.15 / $13.88	Professional		$6.08	$7.15	$13.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.31 / $14.28 / $24.98	Professional		$11.31	$14.28	$24.98
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 $15.47 / $15.47 / $15.47	Professional		$15.47	$15.47	$15.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.79 / $14.88 / $17.85	Professional		$5.79	$14.88	$17.85
United Facility/Professional Professional Modifier Low / Median / High Price $3.96 / $5.93 / $10.51	Professional		$3.96	$5.93	$10.51