Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.90 / $8.61 / $23.29	Facility		$3.90	$8.61	$23.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $3.71 / $5.47	Professional		$2.27	$3.71	$5.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.16 / $2.16 / $3.45	Professional		$2.16	$2.16	$3.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.93 / $24.09 / $70.25	Facility		$6.93	$24.09	$70.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.32 / $3.50 / $4.30	Professional		$3.32	$3.50	$4.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.50 / $10.30 / $19.36	Facility		$4.50	$10.30	$19.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.81 / $5.37 / $6.71	Professional		$2.81	$5.37	$6.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.53 / $8.32 / $41.02	Professional		$4.53	$8.32	$41.02
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 $5.60 / $5.60 / $5.60	Professional		$5.60	$5.60	$5.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $2.37 / $4.30	Professional		$1.83	$2.37	$4.30
United Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $3.15 / $4.44	Professional		$1.81	$3.15	$4.44