Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.30 / $1.83 / $295.64	Facility		$1.30	$1.83	$295.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.94 / $0.97 / $20.52	Professional		$0.94	$0.97	$20.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.05 / $1.12 / $1.56	Professional		$1.05	$1.12	$1.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.39 / $4.15 / $16.82	Facility		$2.39	$4.15	$16.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.22 / $1.38	Professional		$1.22	$1.22	$1.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.94 / $0.94 / $0.94	Facility		$0.94	$0.94	$0.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.94 / $0.94 / $1.13	Professional		$0.94	$0.94	$1.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.89 / $1.79 / $19.76	Professional		$0.89	$1.79	$19.76
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 $1.22 / $1.22 / $1.22	Professional		$1.22	$1.22	$1.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.50 / $1.61	Professional		$1.07	$1.50	$1.61
United Facility/Professional Professional Modifier Low / Median / High Price $0.94 / $1.00 / $3.85	Professional		$0.94	$1.00	$3.85