Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.78 / $1.10 / $407.96	Facility		$0.78	$1.10	$407.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.64 / $1.01	Professional		$0.63	$0.64	$1.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $63.00 / $63.00	Professional		$63.00	$63.00	$63.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.95 / $16.68 / $79.58	Facility		$10.95	$16.68	$79.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $2.04 / $2.31	Professional		$1.00	$2.04	$2.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.63 / $0.63 / $0.63	Facility		$0.63	$0.63	$0.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.63 / $1.04	Professional		$0.63	$0.63	$1.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $1.20 / $11.91	Professional		$0.63	$1.20	$11.91
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 $0.82 / $0.82 / $0.82	Professional		$0.82	$0.82	$0.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.87 / $1.22 / $1.31	Professional		$0.87	$1.22	$1.31
United Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.67 / $0.75	Professional		$0.63	$0.67	$0.75