Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.13 / $65.12 / $488.14	Facility		$3.13	$65.12	$488.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.96 / $3.16 / $100.98	Professional		$2.96	$3.16	$100.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.96 / $2.96 / $4.67	Professional		$2.96	$2.96	$4.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.17 / $223.13 / $455.84	Facility		$12.17	$223.13	$455.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $4.25 / $4.80	Professional		$4.25	$4.25	$4.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.13 / $3.13 / $3.13	Facility		$3.13	$3.13	$3.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.13 / $4.68	Professional		$3.13	$3.13	$4.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $14.79 / $180.79	Professional		$3.13	$14.79	$180.79
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 $4.07 / $4.07 / $4.07	Professional		$4.07	$4.07	$4.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $4.17 / $4.47	Professional		$2.98	$4.17	$4.47
United Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $3.32 / $38.36	Professional		$3.13	$3.32	$38.36