Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.12 / $2.12 / $2.12	Facility		$2.12	$2.12	$2.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.15 / $2.12 / $3.78	Professional		$1.15	$2.12	$3.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.17 / $2.17 / $2.17	Professional		$2.17	$2.17	$2.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.76 / $9.52 / $33.04	Facility		$4.76	$9.52	$33.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.84 / $2.84	Professional		$2.29	$2.84	$2.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.27 / $2.27 / $4.16	Facility		$2.27	$2.27	$4.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.93 / $2.27 / $4.50	Professional		$1.93	$2.27	$4.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.66 / $8.40	Professional		$3.63	$4.66	$8.40
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 $4.91 / $4.91 / $4.91	Professional		$4.91	$4.91	$4.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.44 / $5.14 / $5.67	Professional		$1.44	$5.14	$5.67
United Facility/Professional Professional Modifier Low / Median / High Price $1.27 / $1.88 / $3.33	Professional		$1.27	$1.88	$3.33