Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.97 / $133.38 / $372.28	Facility		$2.97	$133.38	$372.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.73 / $1.74 / $6.63	Professional		$1.73	$1.74	$6.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $1.82 / $1.82	Professional		$1.82	$1.82	$1.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.80 / $13.45 / $75.97	Facility		$4.80	$13.45	$75.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $6.31	Professional		$6.31	$6.31	$6.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $1.74 / $1.74	Facility		$1.74	$1.74	$1.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $1.81	Professional		$1.74	$1.74	$1.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $2.61 / $9.84	Professional		$1.74	$2.61	$9.84
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 $2.25 / $2.25 / $2.25	Professional		$2.25	$2.25	$2.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $2.48 / $2.73	Professional		$1.82	$2.48	$2.73
United Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $2.66	Professional		$1.74	$1.74	$2.66