Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.33 / $2.69 / $85.40	Facility		$1.33	$2.69	$85.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.33 / $1.86 / $2.54	Professional		$1.33	$1.86	$2.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.36 / $1.36 / $1.36	Professional		$1.36	$1.36	$1.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.99 / $33.39 / $57.63	Facility		$5.99	$33.39	$57.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.04 / $2.31	Professional		$2.00	$2.04	$2.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $1.86 / $1.86	Facility		$1.86	$1.86	$1.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $1.86 / $2.46	Professional		$1.86	$1.86	$2.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $4.74 / $40.13	Professional		$1.86	$4.74	$40.13
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 $2.42 / $2.42 / $2.42	Professional		$2.42	$2.42	$2.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.36 / $1.90 / $2.04	Professional		$1.36	$1.90	$2.04
United Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $1.97 / $2.33	Professional		$1.86	$1.97	$2.33