Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.48 / $6.96 / $45.40	Facility		$3.48	$6.96	$45.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $3.48 / $7.00	Professional		$2.27	$3.48	$7.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $2.18 / $4.00	Professional		$1.57	$2.18	$4.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.80 / $11.40 / $39.47	Facility		$4.80	$11.40	$39.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.96 / $3.48 / $3.60	Professional		$2.96	$3.48	$3.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.81 / $8.32 / $16.38	Facility		$2.81	$8.32	$16.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.79 / $4.13 / $5.25	Professional		$1.79	$4.13	$5.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.65 / $5.57 / $23.58	Professional		$3.65	$5.57	$23.58
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 $4.51 / $4.51 / $4.51	Professional		$4.51	$4.51	$4.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $1.30 / $3.48	Professional		$0.63	$1.30	$3.48
United Facility/Professional Facility Modifier Low / Median / High Price $1.75 / $1.75 / $3.48	Facility		$1.75	$1.75	$3.48
United Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.34 / $3.69	Professional		$2.09	$2.34	$3.69