Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.77 / $2.77 / $2.77	Facility		$2.77	$2.77	$2.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.15 / $2.77 / $4.94	Professional		$2.15	$2.77	$4.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.84 / $2.84 / $2.84	Professional		$2.84	$2.84	$2.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.36 / $12.46 / $43.24	Facility		$6.36	$12.46	$43.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.96 / $3.71 / $3.71	Professional		$2.96	$3.71	$3.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.97 / $2.97 / $5.43	Facility		$2.97	$2.97	$5.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $2.97 / $5.63	Professional		$2.52	$2.97	$5.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.58 / $5.93 / $11.94	Professional		$4.58	$5.93	$11.94
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 $6.42 / $6.42 / $6.42	Professional		$6.42	$6.42	$6.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $6.72 / $7.41	Professional		$2.34	$6.72	$7.41
United Facility/Professional Professional Modifier Low / Median / High Price $1.73 / $2.46 / $4.22	Professional		$1.73	$2.46	$4.22