Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.29 / $9.27 / $128.15	Facility		$5.29	$9.27	$128.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.29 / $5.30 / $7.27	Professional		$5.29	$5.30	$7.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.99 / $5.29 / $5.30	Professional		$3.99	$5.29	$5.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.00 / $20.35 / $77.48	Facility		$11.00	$20.35	$77.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.85 / $6.60 / $6.60	Professional		$5.85	$6.60	$6.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.30 / $5.30 / $5.30	Facility		$5.30	$5.30	$5.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $5.30 / $6.45	Professional		$5.30	$5.30	$6.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $6.89 / $12.27	Professional		$4.51	$6.89	$12.27
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 $6.89 / $6.89 / $6.89	Professional		$6.89	$6.89	$6.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.14 / $7.20 / $7.71	Professional		$5.14	$7.20	$7.71
United Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $5.62 / $6.05	Professional		$5.30	$5.62	$6.05