Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.53 / $7.53 / $7.53	Facility		$7.53	$7.53	$7.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.26 / $7.53 / $13.41	Professional		$6.26	$7.53	$13.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.72 / $8.72 / $8.72	Professional		$8.72	$8.72	$8.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $77.68 / $155.55	Facility		$36.31	$77.68	$155.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.86 / $10.06 / $10.06	Professional		$7.86	$10.06	$10.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.07 / $8.07 / $14.75	Facility		$8.07	$8.07	$14.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $8.07 / $15.38	Professional		$6.86	$8.07	$15.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.95 / $14.60 / $18.87	Professional		$11.95	$14.60	$18.87
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 $17.43 / $17.43 / $17.43	Professional		$17.43	$17.43	$17.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.87 / $16.76 / $20.12	Professional		$6.87	$16.76	$20.12
United Facility/Professional Professional Modifier Low / Median / High Price $4.75 / $6.70 / $11.49	Professional		$4.75	$6.70	$11.49