Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.32 / $4.32 / $4.32	Facility		$4.32	$4.32	$4.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.59 / $4.32 / $7.70	Professional		$3.59	$4.32	$7.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Professional		$5.01	$5.01	$5.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.72 / $21.94 / $67.45	Facility		$12.72	$21.94	$67.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.62 / $5.78 / $5.78	Professional		$4.62	$5.78	$5.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.62 / $4.62 / $8.47	Facility		$4.62	$4.62	$8.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.93 / $4.62 / $9.00	Professional		$3.93	$4.62	$9.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.70 / $10.38 / $14.73	Professional		$7.70	$10.38	$14.73
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 $10.01 / $10.01 / $10.01	Professional		$10.01	$10.01	$10.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.66 / $9.63 / $11.55	Professional		$3.66	$9.63	$11.55
United Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $3.84 / $6.59	Professional		$2.70	$3.84	$6.59