Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.96 / $1.96 / $1.96	Facility		$1.96	$1.96	$1.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.96 / $3.49	Professional		$1.07	$1.96	$3.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $2.48 / $3.14	Professional		$2.48	$2.48	$3.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.76 / $9.24 / $33.69	Facility		$4.76	$9.24	$33.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.62 / $2.62 / $2.62	Professional		$2.62	$2.62	$2.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $2.09 / $3.84	Facility		$2.09	$2.09	$3.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $2.09 / $4.13	Professional		$1.78	$2.09	$4.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.19 / $4.76 / $6.92	Professional		$3.19	$4.76	$6.92
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 $4.54 / $4.54 / $4.54	Professional		$4.54	$4.54	$4.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.68 / $4.36 / $5.24	Professional		$1.68	$4.36	$5.24
United Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.73 / $3.46	Professional		$1.23	$1.73	$3.46