Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.41 / $1.41 / $1.41	Facility		$1.41	$1.41	$1.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $1.41 / $2.50	Professional		$1.17	$1.41	$2.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.44 / $1.44 / $1.44	Professional		$1.44	$1.44	$1.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.20 / $5.66 / $21.91	Facility		$3.20	$5.66	$21.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.47 / $1.88 / $1.88	Professional		$1.47	$1.88	$1.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.51 / $1.51 / $2.76	Facility		$1.51	$1.51	$2.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.28 / $1.51 / $3.00	Professional		$1.28	$1.51	$3.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.89 / $5.41	Professional		$2.29	$2.89	$5.41
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 $3.26 / $3.26 / $3.26	Professional		$3.26	$3.26	$3.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.19 / $3.41 / $3.77	Professional		$1.19	$3.41	$3.77
United Facility/Professional Professional Modifier Low / Median / High Price $0.89 / $1.25 / $2.09	Professional		$0.89	$1.25	$2.09