Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $4.37 / $4.37	Facility		$4.37	$4.37	$4.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.80 / $4.49 / $7.79	Professional		$2.80	$4.49	$7.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.57 / $5.57 / $5.57	Professional		$5.57	$5.57	$5.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.60 / $20.66 / $75.27	Facility		$9.60	$20.66	$75.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.84 / $5.84 / $5.84	Professional		$5.84	$5.84	$5.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $5.50 / $8.57	Facility		$5.50	$5.50	$8.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $5.50 / $10.50	Professional		$4.68	$5.50	$10.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.14 / $8.89 / $15.96	Professional		$7.14	$8.89	$15.96
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 $10.13 / $10.13 / $11.91	Professional		$10.13	$10.13	$11.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.70 / $9.74 / $11.69	Professional		$3.70	$9.74	$11.69
United Facility/Professional Professional Modifier Low / Median / High Price $3.04 / $3.88 / $6.87	Professional		$3.04	$3.88	$6.87