Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.84 / $46.20 / $78.51	Facility		$3.84	$46.20	$78.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $2.02 / $5.07	Professional		$1.88	$2.02	$5.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.35 / $61.00	Professional		$1.12	$1.35	$61.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.93 / $10.65 / $27.31	Facility		$3.93	$10.65	$27.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.31 / $3.50	Professional		$2.14	$2.31	$3.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.35 / $5.47 / $10.42	Facility		$2.35	$5.47	$10.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.61 / $2.89 / $3.61	Professional		$1.61	$2.89	$3.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.36 / $4.34 / $20.50	Professional		$2.36	$4.34	$20.50
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 $2.93 / $2.93 / $2.93	Professional		$2.93	$2.93	$2.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.54 / $2.81	Professional		$1.12	$1.54	$2.81
United Facility/Professional Facility Modifier Low / Median / High Price $3.77 / $3.77 / $3.77	Facility		$3.77	$3.77	$3.77
United Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.88 / $3.14	Professional		$1.35	$1.88	$3.14