Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.98 / $63.10	Facility		$3.02	$3.98	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.98 / $8.13	Professional		$3.02	$3.98	$8.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $6.03 / $8.13	Professional		$3.98	$6.03	$8.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $15.49 / $54.95	Facility		$9.55	$15.49	$54.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $6.03 / $6.03	Professional		$5.89	$6.03	$6.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $5.13 / $8.91	Facility		$5.13	$5.13	$8.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $8.71	Professional		$3.80	$3.80	$8.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $9.77 / $13.80	Professional		$7.41	$9.77	$13.80
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 $10.47 / $10.47 / $10.47	Professional		$10.47	$10.47	$10.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.24 / $4.57	Professional		$3.24	$3.24	$4.57
United Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $6.46 / $13.18	Facility		$5.37	$6.46	$13.18
United Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $3.98 / $6.61	Professional		$3.31	$3.98	$6.61