Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.58 / $1.58	Professional		$1.00	$1.58	$1.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $63.10 / $245.47	Facility		$30.90	$63.10	$245.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $0.27 / $0.44	Professional		$0.27	$0.27	$0.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.52 / $0.66 / $158.49	Professional		$0.52	$0.66	$158.49
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 $1.82 / $1.82 / $2.19	Professional		$1.82	$1.82	$2.19
United Facility/Professional Facility Modifier Low / Median / High Price $0.19 / $0.19 / $0.26	Facility		$0.19	$0.19	$0.26
United Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.22 / $0.37	Professional		$0.15	$0.22	$0.37