Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.81 / $2.81 / $2.81	Facility		$2.81	$2.81	$2.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.54 / $2.81 / $5.00	Professional		$1.54	$2.81	$5.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $2.88 / $2.88	Professional		$2.88	$2.88	$2.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.85 / $13.72 / $43.79	Facility		$7.85	$13.72	$43.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $3.75 / $3.75	Professional		$2.93	$3.75	$3.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.01 / $3.01 / $5.50	Facility		$3.01	$3.01	$5.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $2.56 / $5.68	Professional		$2.56	$2.56	$5.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.83 / $5.83 / $10.67	Professional		$4.83	$5.83	$10.67
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 $6.50 / $6.50 / $6.50	Professional		$6.50	$6.50	$6.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.38 / $6.25 / $7.50	Professional		$2.38	$6.25	$7.50
United Facility/Professional Professional Modifier Low / Median / High Price $1.77 / $2.50 / $4.42	Professional		$1.77	$2.50	$4.42