Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $3.80 / $11.75	Facility		$2.09	$3.80	$11.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $2.52 / $3.96	Professional		$1.74	$2.52	$3.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.09 / $1.09 / $1.09	Professional		$1.09	$1.09	$1.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.53 / $8.22 / $30.31	Facility		$3.53	$8.22	$30.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.67 / $2.24 / $3.50	Professional		$1.67	$2.24	$3.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.27 / $5.20 / $10.42	Facility		$2.27	$5.20	$10.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $2.48 / $3.20	Professional		$1.42	$2.48	$3.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $4.20 / $23.73	Professional		$2.27	$4.20	$23.73
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 $2.82 / $2.82 / $2.82	Professional		$2.82	$2.82	$2.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.90 / $1.19 / $2.17	Professional		$0.90	$1.19	$2.17
United Facility/Professional Facility Modifier Low / Median / High Price $3.64 / $3.64 / $3.64	Facility		$3.64	$3.64	$3.64
United Facility/Professional Professional Modifier Low / Median / High Price $1.30 / $2.10 / $3.03	Professional		$1.30	$2.10	$3.03