Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.07 / $2.24 / $851.14	Facility		$1.07	$2.24	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $2.00 / $660.69	Professional		$1.07	$2.00	$660.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.91 / $14.45 / $79.43	Facility		$0.91	$14.45	$79.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.29 / $2.29	Professional		$2.04	$2.29	$2.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.62 / $0.62 / $0.62	Facility		$0.62	$0.62	$0.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.62 / $0.62 / $0.81	Professional		$0.62	$0.62	$0.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $6.92 / $12.02	Professional		$0.63	$6.92	$12.02
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 $0.81 / $0.81 / $0.81	Professional		$0.81	$0.81	$0.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $0.71 / $0.76	Professional		$0.65	$0.71	$0.76
United Facility/Professional Facility Modifier Low / Median / High Price $0.62 / $0.63 / $1.45	Facility		$0.62	$0.63	$1.45
United Facility/Professional Professional Modifier Low / Median / High Price $0.62 / $0.65 / $0.91	Professional		$0.62	$0.65	$0.91