Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Facility		$5.01	$5.01	$5.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Professional		$5.01	$5.01	$5.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $3.63 / $5.89	Professional		$2.34	$3.63	$5.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $28.84 / $60.26	Facility		$16.60	$28.84	$60.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Professional		$5.01	$5.01	$5.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $4.07 / $4.07	Facility		$4.07	$4.07	$4.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $3.47 / $5.25	Professional		$3.47	$3.47	$5.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $8.91 / $15.85	Professional		$6.92	$8.91	$15.85
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $0.24 / $0.34 / $4.37	Facility		$0.24	$0.34	$4.37
United Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $3.47 / $4.79	Professional		$0.24	$3.47	$4.79