Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $87.10 / $467.74	Facility		$37.15	$87.10	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $45.71 / $524.81	Professional		$6.61	$45.71	$524.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $10.96 / $10.96	Professional		$1.00	$10.96	$10.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.78 / $5.01 / $12.88	Facility		$1.78	$5.01	$12.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.15 / $0.18	Professional		$0.15	$0.15	$0.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.11 / $0.11	Facility		$0.11	$0.11	$0.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.15	Professional		$0.11	$0.11	$0.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $2.95 / $5.01	Professional		$0.10	$2.95	$5.01
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 $0.13 / $0.13 / $0.13	Professional		$0.13	$0.13	$0.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.15 / $0.16	Professional		$0.10	$0.15	$0.16
United Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $0.20 / $0.20	Facility		$0.12	$0.20	$0.20
United Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.12 / $0.13	Professional		$0.11	$0.12	$0.13