Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $1.62 / $1.62	Facility		$1.62	$1.62	$1.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.88 / $1.62 / $2.88	Professional		$0.88	$1.62	$2.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.06 / $2.06	Professional		$2.06	$2.06	$2.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.20 / $7.29 / $25.29	Facility		$3.20	$7.29	$25.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $2.16 / $2.16	Professional		$2.11	$2.16	$2.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.73 / $1.73 / $3.17	Facility		$1.73	$1.73	$3.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.47 / $1.73 / $3.38	Professional		$1.47	$1.73	$3.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $4.83 / $7.77	Professional		$2.88	$4.83	$7.77
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 $3.74 / $3.74 / $3.74	Professional		$3.74	$3.74	$3.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.91 / $3.60 / $4.32	Professional		$0.91	$3.60	$4.32
United Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.44 / $2.54	Professional		$1.22	$1.44	$2.54