Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.91 / $1.91 / $657.26	Facility		$1.91	$1.91	$657.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.04 / $1.91 / $2.89	Professional		$1.04	$1.91	$2.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.87 / $1.87 / $2.21	Professional		$1.87	$1.87	$2.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.76 / $8.65 / $29.64	Facility		$4.76	$8.65	$29.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $2.54 / $2.54	Professional		$1.99	$2.54	$2.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.80 / $2.04 / $3.17	Facility		$1.80	$2.04	$3.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.73 / $1.80 / $3.75	Professional		$1.73	$1.80	$3.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $5.56 / $13.78	Professional		$3.22	$5.56	$13.78
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 $4.41 / $4.41 / $4.41	Professional		$4.41	$4.41	$4.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.52 / $4.24 / $5.09	Professional		$1.52	$4.24	$5.09
United Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $1.67 / $2.90	Professional		$1.20	$1.67	$2.90