Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.95 / $630.96	Facility		$1.00	$1.95	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.91 / $3.16	Professional		$1.00	$1.91	$3.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Professional		$2.04	$2.04	$2.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $6.61 / $26.92	Facility		$3.24	$6.61	$26.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $2.34 / $2.34	Professional		$1.82	$2.34	$2.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $1.86 / $3.47	Facility		$1.86	$1.86	$3.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.58 / $3.47	Professional		$1.58	$1.58	$3.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $4.68 / $6.76	Professional		$2.63	$4.68	$6.76
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 $4.07 / $4.07 / $4.07	Professional		$4.07	$4.07	$4.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $1.45 / $1.45	Professional		$1.45	$1.45	$1.45
United Facility/Professional Facility Modifier Low / Median / High Price $0.87 / $1.41 / $3.16	Facility		$0.87	$1.41	$3.16
United Facility/Professional Professional Modifier Low / Median / High Price $1.02 / $1.55 / $2.40	Professional		$1.02	$1.55	$2.40