Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.30 / $62.75 / $908.27	Facility		$0.30	$62.75	$908.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.22 / $0.26	Professional		$0.22	$0.22	$0.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $33.00 / $33.00	Professional		$33.00	$33.00	$33.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.80 / $1.43 / $6.25	Facility		$0.80	$1.43	$6.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.31 / $0.31	Professional		$0.26	$0.31	$0.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.22 / $0.22 / $0.22	Facility		$0.22	$0.22	$0.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.22 / $0.25	Professional		$0.22	$0.22	$0.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.53 / $1.43	Professional		$0.22	$0.53	$1.43
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 $0.28 / $0.28 / $0.28	Professional		$0.28	$0.28	$0.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.31 / $0.33	Professional		$0.22	$0.31	$0.33
United Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.22 / $0.30	Professional		$0.22	$0.22	$0.30