Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $7.08 / $47.86	Facility		$3.47	$7.08	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $4.17 / $10.96	Professional		$2.57	$4.17	$10.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.78 / $3.98	Professional		$1.48	$1.78	$3.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $8.91 / $39.81	Facility		$4.68	$8.91	$39.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $3.47 / $3.55	Professional		$3.31	$3.47	$3.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.24 / $7.24 / $16.22	Facility		$2.24	$7.24	$16.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $3.98 / $5.25	Professional		$1.78	$3.98	$5.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $6.31 / $23.44	Professional		$3.80	$6.31	$23.44
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 $4.47 / $4.47 / $4.47	Professional		$4.47	$4.47	$4.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $1.26 / $1.29	Professional		$0.63	$1.26	$1.29
United Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $3.47 / $6.92	Facility		$2.09	$3.47	$6.92
United Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.19 / $3.72	Professional		$2.09	$2.19	$3.72