Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $3.89	Facility		$2.00	$2.00	$3.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $2.00 / $3.89	Professional		$1.00	$2.00	$3.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $2.51 / $2.51	Professional		$2.51	$2.51	$2.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $10.72 / $33.11	Facility		$6.31	$10.72	$33.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.82 / $2.82	Professional		$2.19	$2.82	$2.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $2.29 / $4.27	Facility		$2.29	$2.29	$4.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $4.17	Professional		$1.95	$1.95	$4.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $8.91 / $12.59	Professional		$3.39	$8.91	$12.59
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 $4.90 / $4.90 / $4.90	Professional		$4.90	$4.90	$4.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $3.63	Professional		$3.63	$3.63	$3.63
United Facility/Professional Facility Modifier Low / Median / High Price $1.07 / $1.48 / $3.89	Facility		$1.07	$1.48	$3.89
United Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.86 / $3.02	Professional		$1.35	$1.86	$3.02