Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.71 / $36.54 / $72.80	Facility		$3.71	$36.54	$72.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.15 / $8.17	Professional		$2.04	$2.15	$8.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $3.00 / $3.00	Professional		$1.42	$3.00	$3.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.19 / $11.40 / $30.84	Facility		$4.19	$11.40	$30.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.44 / $3.50	Professional		$2.00	$2.44	$3.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.48 / $5.70 / $10.42	Facility		$2.48	$5.70	$10.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.79 / $2.89 / $3.61	Professional		$1.79	$2.89	$3.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $4.34 / $32.86	Professional		$2.49	$4.34	$32.86
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 $3.08 / $3.08 / $3.08	Professional		$3.08	$3.08	$3.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.19 / $1.63 / $2.96	Professional		$1.19	$1.63	$2.96
United Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $2.10 / $3.11	Professional		$1.42	$2.10	$3.11