Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.59 / $3.38 / $245.03	Facility		$1.59	$3.38	$245.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.59 / $2.79 / $55.63	Professional		$1.59	$2.79	$55.63
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 $23.23 / $97.98 / $284.08	Facility		$23.23	$97.98	$284.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $2.72 / $2.72	Professional		$2.41	$2.72	$2.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.79 / $2.79 / $2.79	Facility		$2.79	$2.79	$2.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $2.79 / $3.00	Professional		$2.79	$2.79	$3.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.16 / $4.74 / $117.70	Professional		$2.16	$4.74	$117.70
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 $3.63 / $3.63 / $3.63	Professional		$3.63	$3.63	$3.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.50 / $3.50 / $3.75	Professional		$2.50	$3.50	$3.75
United Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $2.96 / $3.73	Professional		$2.79	$2.96	$3.73