Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $2.45 / $2.45	Facility		$2.45	$2.45	$2.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $2.00 / $2.24	Professional		$1.00	$2.00	$2.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $2.34 / $2.45	Professional		$1.51	$2.34	$2.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $47.86 / $63.10	Facility		$33.11	$47.86	$63.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $15.85 / $15.85	Professional		$13.49	$15.85	$15.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $3.55 / $3.72	Professional		$3.55	$3.55	$3.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $15.85 / $24.55	Professional		$12.30	$15.85	$24.55
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $30.20 / $1,513.56	Professional		$7.76	$30.20	$1,513.56
United Facility/Professional Professional Modifier Low / Median / High Price $1.15 / $1.74 / $3.24	Professional		$1.15	$1.74	$3.24