Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.17 / $25.16 / $76.76	Facility		$3.17	$25.16	$76.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.85 / $3.94	Professional		$1.81	$1.85	$3.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $3.07 / $3.07	Professional		$2.52	$3.07	$3.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $31.71 / $105.02	Facility		$9.63	$31.71	$105.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $4.59 / $5.19	Professional		$4.59	$4.59	$5.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.81 / $1.81 / $1.81	Facility		$1.81	$1.81	$1.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.81 / $3.76	Professional		$1.81	$1.81	$3.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $3.81 / $18.39	Professional		$1.81	$3.81	$18.39
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 $2.35 / $2.35 / $2.35	Professional		$2.35	$2.35	$2.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.92 / $4.09 / $4.38	Professional		$2.92	$4.09	$4.38
United Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.92 / $2.29	Professional		$1.81	$1.92	$2.29