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 $2.18 / $2.81 / $5.01	Professional		$2.18	$2.81	$5.01
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 $7.95 / $13.72 / $43.92	Facility		$7.95	$13.72	$43.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.01 / $3.76 / $3.76	Professional		$3.01	$3.76	$3.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.01 / $3.01 / $5.51	Facility		$3.01	$3.01	$5.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $3.01 / $5.63	Professional		$2.56	$3.01	$5.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.83 / $5.26 / $11.12	Professional		$4.83	$5.26	$11.12
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 $6.51 / $6.51 / $6.51	Professional		$6.51	$6.51	$6.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.38 / $6.26 / $7.52	Professional		$2.38	$6.26	$7.52
United Facility/Professional Professional Modifier Low / Median / High Price $1.77 / $2.50 / $5.21	Professional		$1.77	$2.50	$5.21