Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.68 / $2.68 / $2.68	Facility		$2.68	$2.68	$2.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $2.68 / $4.76	Professional		$1.45	$2.68	$4.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $3.10 / $3.10	Professional		$3.10	$3.10	$3.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.75 / $13.45 / $41.53	Facility		$7.75	$13.45	$41.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.80 / $3.58 / $3.58	Professional		$2.80	$3.58	$3.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.86 / $2.86 / $5.25	Facility		$2.86	$2.86	$5.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.43 / $2.86 / $5.63	Professional		$2.43	$2.86	$5.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $6.92 / $9.08	Professional		$4.76	$6.92	$9.08
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 $6.20 / $6.20 / $6.20	Professional		$6.20	$6.20	$6.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.26 / $5.96 / $7.16	Professional		$2.26	$5.96	$7.16
United Facility/Professional Professional Modifier Low / Median / High Price $1.67 / $2.38 / $4.09	Professional		$1.67	$2.38	$4.09