Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.86 / $2.86 / $2.86	Facility		$2.86	$2.86	$2.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.56 / $2.86 / $5.01	Professional		$1.56	$2.86	$5.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $3.27 / $3.32	Professional		$3.26	$3.27	$3.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.95 / $13.80 / $44.60	Facility		$7.95	$13.80	$44.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $3.83 / $3.83	Professional		$3.06	$3.83	$3.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.06 / $3.06 / $5.52	Facility		$3.06	$3.06	$5.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.60 / $3.06 / $6.00	Professional		$2.60	$3.06	$6.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.34 / $7.87 / $20.82	Professional		$4.34	$7.87	$20.82
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 $6.63 / $6.63 / $6.63	Professional		$6.63	$6.63	$6.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $6.38 / $7.65	Professional		$2.31	$6.38	$7.65
United Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.54 / $4.49	Professional		$2.00	$2.54	$4.49