Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.85 / $5.85 / $5.85	Facility		$5.85	$5.85	$5.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.85 / $5.85 / $10.41	Professional		$3.85	$5.85	$10.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $6.38 / $6.77	Professional		$5.75	$6.38	$6.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.72 / $26.30 / $91.25	Facility		$12.72	$26.30	$91.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.85 / $7.81 / $7.81	Professional		$5.85	$7.81	$7.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.26 / $6.26 / $11.45	Facility		$6.26	$6.26	$11.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $6.26 / $11.25	Professional		$5.32	$6.26	$11.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.33 / $11.12 / $17.78	Professional		$8.33	$11.12	$17.78
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 $12.30 / $12.30 / $13.53	Professional		$12.30	$12.30	$13.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.70 / $14.16 / $15.62	Professional		$4.70	$14.16	$15.62
United Facility/Professional Professional Modifier Low / Median / High Price $3.68 / $5.15 / $8.92	Professional		$3.68	$5.15	$8.92