Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.46 / $1.46 / $1.46	Facility		$1.46	$1.46	$1.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.46 / $2.59	Professional		$1.12	$1.46	$2.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.68 / $1.68 / $1.68	Professional		$1.68	$1.68	$1.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.76 / $8.14 / $22.71	Facility		$4.76	$8.14	$22.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.94 / $1.94 / $1.97	Professional		$1.94	$1.94	$1.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.56 / $1.56 / $2.85	Facility		$1.56	$1.56	$2.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.33 / $1.56 / $3.00	Professional		$1.33	$1.56	$3.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $3.18 / $4.93	Professional		$2.56	$3.18	$4.93
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 $3.37 / $3.37 / $3.37	Professional		$3.37	$3.37	$3.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $3.24 / $3.89	Professional		$1.23	$3.24	$3.89
United Facility/Professional Professional Modifier Low / Median / High Price $0.92 / $1.30 / $2.22	Professional		$0.92	$1.30	$2.22