Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.73 / $7.63 / $7,699.10	Facility		$3.73	$7.63	$7,699.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.73 / $4.36 / $13.50	Professional		$3.73	$4.36	$13.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.73 / $3.73 / $4.36	Professional		$3.73	$3.73	$4.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.22 / $107.36 / $386.44	Facility		$5.22	$107.36	$386.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.62 / $5.22 / $5.22	Professional		$4.62	$5.22	$5.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.36 / $4.36 / $4.36	Facility		$4.36	$4.36	$4.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $4.36 / $15.00	Professional		$4.36	$4.36	$15.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $15.40 / $142.74	Professional		$4.36	$15.40	$142.74
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 $5.67 / $5.67 / $5.67	Professional		$5.67	$5.67	$5.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.77 / $5.28 / $5.66	Professional		$3.77	$5.28	$5.66
United Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $4.62 / $5.19	Professional		$4.36	$4.62	$5.19