Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.78 / $30.20 / $416.87	Facility		$1.78	$30.20	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $2.00 / $275.42	Professional		$1.00	$2.00	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $1.74	Professional		$1.74	$1.74	$1.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $199.53 / $562.34	Facility		$7.94	$199.53	$562.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.57 / $4.57	Professional		$4.07	$4.57	$4.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.78 / $1.78 / $1.78	Facility		$1.78	$1.78	$1.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $1.78 / $2.63	Professional		$1.78	$1.78	$2.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $13.80 / $138.04	Professional		$1.74	$13.80	$138.04
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 $2.29 / $2.29 / $2.29	Professional		$2.29	$2.29	$2.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $2.09 / $2.24	Professional		$1.82	$2.09	$2.24
United Facility/Professional Facility Modifier Low / Median / High Price $1.78 / $2.69 / $2.69	Facility		$1.78	$2.69	$2.69
United Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $1.91 / $32.36	Professional		$1.78	$1.91	$32.36