Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.47 / $86.80 / $621.15	Facility		$2.47	$86.80	$621.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $2.74 / $94.03	Professional		$2.37	$2.74	$94.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $2.31 / $3.33	Professional		$2.11	$2.31	$3.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.70 / $20.12 / $302.80	Facility		$6.70	$20.12	$302.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $4.34 / $4.90	Professional		$4.34	$4.34	$4.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.47 / $2.47 / $2.47	Facility		$2.47	$2.47	$2.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $2.47 / $3.76	Professional		$2.47	$2.47	$3.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $6.30 / $120.00	Professional		$2.47	$6.30	$120.00
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 $3.21 / $3.21 / $3.21	Professional		$3.21	$3.21	$3.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $4.09 / $4.40	Professional		$2.93	$4.09	$4.40
United Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $2.62 / $36.11	Professional		$2.47	$2.62	$36.11