Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.11 / $5.11 / $9.10	Facility		$5.11	$5.11	$9.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $5.94 / $9.09	Professional		$4.46	$5.94	$9.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $8.66 / $8.66	Professional		$8.66	$8.66	$8.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.20 / $25.72 / $104.26	Facility		$11.20	$25.72	$104.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $9.10 / $9.10	Professional		$7.11	$9.10	$9.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $3.72 / $9.34	Professional		$3.72	$3.72	$9.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.74 / $12.74 / $30.53	Professional		$7.74	$12.74	$30.53
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 $11.83 / $11.83 / $11.83	Professional		$11.83	$11.83	$11.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.38 / $12.74 / $13.65	Professional		$12.38	$12.74	$13.65
United Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $4.54 / $7.56	Professional		$3.22	$4.54	$7.56