Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.02 / $6.61	Facility		$3.02	$3.02	$6.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.98 / $6.03	Professional		$2.00	$3.98	$6.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $6.03	Professional		$6.03	$6.03	$6.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $14.45 / $57.54	Facility		$7.76	$14.45	$57.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $4.90 / $4.90	Professional		$3.80	$4.90	$4.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $3.39 / $3.72	Professional		$3.39	$3.39	$3.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.46 / $15.85	Professional		$4.79	$6.46	$15.85
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 $8.51 / $8.51 / $8.51	Professional		$8.51	$8.51	$8.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $3.09 / $3.09	Professional		$3.09	$3.09	$3.09
United Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $5.25 / $6.61	Facility		$3.31	$5.25	$6.61
United Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $3.24 / $4.68	Professional		$2.19	$3.24	$4.68