Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.60 / $2.60 / $2.60	Facility		$2.60	$2.60	$2.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.16 / $2.60 / $4.63	Professional		$2.16	$2.60	$4.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $2.56 / $2.56	Professional		$2.56	$2.56	$2.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.80 / $11.68 / $40.52	Facility		$4.80	$11.68	$40.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.44 / $3.47 / $3.47	Professional		$2.44	$3.47	$3.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.60 / $2.60 / $5.09	Facility		$2.60	$2.60	$5.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.89 / $2.21 / $4.59	Professional		$1.89	$2.21	$4.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.92 / $6.48	Professional		$4.01	$4.92	$6.48
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 $6.02 / $6.02 / $6.02	Professional		$6.02	$6.02	$6.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $6.30 / $6.95	Professional		$2.19	$6.30	$6.95
United Facility/Professional Professional Modifier Low / Median / High Price $1.64 / $2.31 / $4.09	Professional		$1.64	$2.31	$4.09