Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.87 / $4.87 / $4.87	Facility		$4.87	$4.87	$4.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.66 / $4.87 / $8.67	Professional		$2.66	$4.87	$8.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Professional		$5.00	$5.00	$5.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.72 / $23.04 / $76.16	Facility		$12.72	$23.04	$76.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $6.50 / $6.50	Professional		$5.08	$6.50	$6.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.22 / $5.22 / $9.53	Facility		$5.22	$5.22	$9.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.44 / $5.22 / $10.13	Professional		$4.44	$5.22	$10.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.39 / $10.60 / $20.67	Professional		$8.39	$10.60	$20.67
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 $11.27 / $11.27 / $11.27	Professional		$11.27	$11.27	$11.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $10.84 / $13.01	Professional		$4.13	$10.84	$13.01
United Facility/Professional Professional Modifier Low / Median / High Price $3.05 / $4.33 / $7.68	Professional		$3.05	$4.33	$7.68