Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.82 / $6.04 / $94.44	Facility		$3.82	$6.04	$94.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.48 / $4.74	Professional		$3.45	$3.48	$4.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.45 / $3.45	Professional		$3.45	$3.45	$3.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $13.40 / $50.57	Facility		$8.00	$13.40	$50.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $4.30 / $4.84	Professional		$4.30	$4.30	$4.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.45 / $3.45 / $3.45	Facility		$3.45	$3.45	$3.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.45 / $5.43	Professional		$3.45	$3.45	$5.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $8.36 / $24.54	Professional		$3.45	$8.36	$24.54
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 $4.49 / $4.49 / $4.49	Professional		$4.49	$4.49	$4.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $6.30 / $6.75	Professional		$4.50	$6.30	$6.75
United Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.66 / $6.37	Professional		$3.45	$3.66	$6.37