Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.48 / $2.14 / $150.50	Facility		$1.48	$2.14	$150.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.23 / $1.92	Professional		$1.22	$1.23	$1.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.59 / $1.59 / $1.59	Professional		$1.59	$1.59	$1.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.86 / $32.28 / $171.36	Facility		$7.86	$32.28	$171.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $2.00 / $2.15	Professional		$1.91	$2.00	$2.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.22 / $1.22 / $1.22	Facility		$1.22	$1.22	$1.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.22 / $3.03	Professional		$1.22	$1.22	$3.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $9.23 / $112.89	Professional		$1.22	$9.23	$112.89
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 $1.59 / $1.59 / $1.59	Professional		$1.59	$1.59	$1.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.77 / $2.48 / $2.66	Professional		$1.77	$2.48	$2.66
United Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.29 / $1.48	Professional		$1.22	$1.29	$1.48