Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.49 / $4.49 / $4.49	Facility		$4.49	$4.49	$4.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.46 / $4.49 / $7.99	Professional		$2.46	$4.49	$7.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.62 / $4.62 / $4.62	Professional		$4.62	$4.62	$4.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.72 / $21.94 / $70.04	Facility		$12.72	$21.94	$70.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $6.00 / $6.00	Professional		$4.80	$6.00	$6.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.80 / $4.80 / $8.80	Facility		$4.80	$4.80	$8.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.08 / $4.80 / $9.38	Professional		$4.08	$4.80	$9.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $8.80 / $17.88	Professional		$7.43	$8.80	$17.88
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 $10.40 / $10.40 / $10.40	Professional		$10.40	$10.40	$10.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.82 / $10.00 / $12.00	Professional		$3.82	$10.00	$12.00
United Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $3.99 / $6.85	Professional		$2.82	$3.99	$6.85