Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.86 / $54.04 / $446.88	Facility		$2.86	$54.04	$446.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $3.11 / $63.67	Professional		$2.72	$3.11	$63.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $2.72 / $3.54	Professional		$2.72	$2.72	$3.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.72 / $19.16 / $105.00	Facility		$6.72	$19.16	$105.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.24 / $4.24 / $4.79	Professional		$4.24	$4.24	$4.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Facility		$3.02	$3.02	$3.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $4.09	Professional		$3.02	$3.02	$4.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $7.32 / $47.10	Professional		$3.02	$7.32	$47.10
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 $3.93 / $3.93 / $3.93	Professional		$3.93	$3.93	$3.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.15 / $4.41 / $4.73	Professional		$3.15	$4.41	$4.73
United Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.20 / $5.32	Professional		$3.02	$3.20	$5.32