Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $28.50 / $266.75	Facility		$1.95	$28.50	$266.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.31 / $47.77	Professional		$1.95	$2.31	$47.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $3.00	Professional		$1.95	$1.95	$3.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.67 / $38.42 / $96.60	Facility		$5.67	$38.42	$96.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.81 / $3.81 / $4.30	Professional		$3.81	$3.81	$4.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $2.29 / $2.29	Facility		$2.29	$2.29	$2.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.29 / $3.43	Professional		$2.29	$2.29	$3.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $4.34 / $18.42	Professional		$2.29	$4.34	$18.42
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 $2.98 / $2.98 / $2.98	Professional		$2.98	$2.98	$2.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.86 / $4.00 / $4.29	Professional		$2.86	$4.00	$4.29
United Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.43 / $11.44	Professional		$2.29	$2.43	$11.44