Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.21 / $0.21 / $0.21	Facility		$0.21	$0.21	$0.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.21 / $0.34	Professional		$0.11	$0.21	$0.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $5.00 / $25.00	Professional		$4.00	$5.00	$25.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.75 / $1.57 / $6.80	Facility		$0.75	$1.57	$6.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.50 / $0.50 / $0.50	Professional		$0.50	$0.50	$0.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.19 / $0.20 / $0.20	Facility		$0.19	$0.20	$0.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.17 / $0.19 / $0.38	Professional		$0.17	$0.19	$0.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $0.39 / $0.88	Professional		$0.27	$0.39	$0.88
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 $0.42 / $0.42 / $0.42	Professional		$0.42	$0.42	$0.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.13 / $0.40 / $0.48	Professional		$0.13	$0.40	$0.48
United Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.16 / $0.28	Professional		$0.12	$0.16	$0.28