Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $1.74 / $3.10	Facility		$1.74	$1.74	$3.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.34 / $1.74 / $3.10	Professional		$1.34	$1.74	$3.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $2.02	Professional		$2.02	$2.02	$2.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.20 / $7.80 / $27.06	Facility		$3.20	$7.80	$27.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $2.33 / $2.33	Professional		$1.82	$2.33	$2.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.85 / $1.85 / $3.41	Facility		$1.85	$1.85	$3.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.57 / $1.57 / $3.79	Professional		$1.57	$1.57	$3.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.67 / $4.65 / $6.93	Professional		$2.67	$4.65	$6.93
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 $4.03 / $4.03 / $4.03	Professional		$4.03	$4.03	$4.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.46 / $3.88 / $4.65	Professional		$1.46	$3.88	$4.65
United Facility/Professional Professional Modifier Low / Median / High Price $1.24 / $1.54 / $2.71	Professional		$1.24	$1.54	$2.71