Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.12 / $2.12 / $2.12	Facility		$2.12	$2.12	$2.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.64 / $2.12 / $3.78	Professional		$1.64	$2.12	$3.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.46 / $2.46 / $2.46	Professional		$2.46	$2.46	$2.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.36 / $10.97 / $33.04	Facility		$6.36	$10.97	$33.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.21 / $2.84 / $2.84	Professional		$2.21	$2.84	$2.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.27 / $2.27 / $4.16	Facility		$2.27	$2.27	$4.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.93 / $2.27 / $4.50	Professional		$1.93	$2.27	$4.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.59 / $8.90 / $12.53	Professional		$3.59	$8.90	$12.53
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 $4.91 / $4.91 / $4.91	Professional		$4.91	$4.91	$4.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.66 / $5.23 / $5.67	Professional		$3.66	$5.23	$5.67
United Facility/Professional Professional Modifier Low / Median / High Price $1.34 / $1.88 / $3.23	Professional		$1.34	$1.88	$3.23