Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.16 / $2.16 / $2.16	Facility		$2.16	$2.16	$2.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.68 / $2.16 / $3.84	Professional		$1.68	$2.16	$3.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.21 / $2.21 / $2.21	Professional		$2.21	$2.21	$2.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.36 / $10.97 / $33.72	Facility		$6.36	$10.97	$33.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $2.89 / $2.89	Professional		$2.31	$2.89	$2.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.31 / $2.31 / $4.24	Facility		$2.31	$2.31	$4.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.96 / $2.31 / $4.50	Professional		$1.96	$2.31	$4.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.85 / $5.32 / $8.07	Professional		$3.85	$5.32	$8.07
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 $5.01 / $5.01 / $5.01	Professional		$5.01	$5.01	$5.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $4.80 / $5.78	Professional		$1.82	$4.80	$5.78
United Facility/Professional Professional Modifier Low / Median / High Price $1.28 / $1.92 / $3.30	Professional		$1.28	$1.92	$3.30