Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.14 / $2.14 / $2.14	Facility		$2.14	$2.14	$2.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $2.14 / $3.81	Professional		$1.78	$2.14	$3.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $2.48 / $2.48	Professional		$2.48	$2.48	$2.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.36 / $10.97 / $33.45	Facility		$6.36	$10.97	$33.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.86 / $2.86	Professional		$2.29	$2.86	$2.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $2.29 / $4.19	Facility		$2.29	$2.29	$4.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.29 / $4.50	Professional		$1.95	$2.29	$4.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.68 / $5.33 / $8.16	Professional		$3.68	$5.33	$8.16
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 $4.95 / $4.95 / $4.95	Professional		$4.95	$4.95	$4.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.77 / $4.76 / $5.72	Professional		$1.77	$4.76	$5.72
United Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.90 / $3.37	Professional		$1.35	$1.90	$3.37