Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.12 / $173.78 / $1,905.46	Facility		$1.12	$173.78	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $323.59 / $6,309.57	Professional		$3.02	$323.59	$6,309.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $69.18	Professional		$63.10	$63.10	$69.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.55 / $9.55 / $53.70	Facility		$1.55	$9.55	$53.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.15 / $1.15	Professional		$1.00	$1.15	$1.15
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 / $0.89	Professional		$0.63	$0.63	$0.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $4.90 / $41.69	Professional		$0.63	$4.90	$41.69
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 / $0.76 / $0.81	Professional		$0.65	$0.76	$0.81
United Facility/Professional Facility Modifier Low / Median / High Price $0.65 / $1.00 / $1.00	Facility		$0.65	$1.00	$1.00
United Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $0.69 / $5.62	Professional		$0.65	$0.69	$5.62