Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.25 / $5.92 / $205.62	Facility		$2.25	$5.92	$205.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.82 / $5.48	Professional		$2.25	$2.82	$5.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.82 / $2.82	Professional		$2.25	$2.82	$2.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.75 / $14.85 / $47.58	Facility		$6.75	$14.85	$47.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.38 / $3.38	Professional		$3.00	$3.38	$3.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $2.82 / $2.82	Facility		$2.82	$2.82	$2.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $2.82 / $3.59	Professional		$2.82	$2.82	$3.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $5.23 / $11.86	Professional		$2.82	$5.23	$11.86
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 $3.67 / $3.67 / $3.67	Professional		$3.67	$3.67	$3.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.58 / $3.61 / $3.87	Professional		$2.58	$3.61	$3.87
United Facility/Professional Professional Modifier Low / Median / High Price $2.68 / $2.92 / $3.36	Professional		$2.68	$2.92	$3.36