Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.89 / $125.35 / $825.26	Facility		$21.89	$125.35	$825.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $6.63 / $52.00	Professional		$0.15	$6.63	$52.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $15.00 / $21.00	Professional		$12.00	$15.00	$21.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.77 / $1.34 / $5.95	Facility		$0.77	$1.34	$5.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.50 / $0.50 / $0.50	Professional		$0.50	$0.50	$0.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.15 / $0.15	Facility		$0.15	$0.15	$0.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.15 / $0.18	Professional		$0.15	$0.15	$0.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.35 / $1.99	Professional		$0.15	$0.35	$1.99
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 $0.20 / $0.20 / $0.20	Professional		$0.20	$0.20	$0.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.14 / $0.20 / $0.21	Professional		$0.14	$0.20	$0.21
United Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $0.15 / $0.24	Professional		$0.15	$0.15	$0.24