Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.00 / $5.13	Facility		$2.00	$2.00	$5.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.02 / $5.13	Professional		$2.00	$3.02	$5.13
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 $7.76 / $13.49 / $43.65	Facility		$7.76	$13.49	$43.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.80 / $3.80	Professional		$3.02	$3.80	$3.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.02 / $5.62	Facility		$3.02	$3.02	$5.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $2.57 / $5.50	Professional		$2.57	$2.57	$5.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.50 / $11.22	Professional		$4.79	$5.50	$11.22
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 $6.46 / $6.46 / $6.46	Professional		$6.46	$6.46	$6.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $2.40	Professional		$2.40	$2.40	$2.40
United Facility/Professional Facility Modifier Low / Median / High Price $1.45 / $1.95 / $5.13	Facility		$1.45	$1.95	$5.13
United Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $2.51 / $3.98	Professional		$1.78	$2.51	$3.98