Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.41 / $18.30 / $157.75	Facility		$8.41	$18.30	$157.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $5.87 / $8.41	Professional		$3.72	$5.87	$8.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $4.21 / $4.87	Professional		$4.21	$4.21	$4.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.40 / $38.79 / $98.29	Facility		$12.40	$38.79	$98.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $5.40 / $7.01	Professional		$3.50	$5.40	$7.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.33 / $17.04 / $32.76	Facility		$7.33	$17.04	$32.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.58 / $8.67 / $10.84	Professional		$4.58	$8.67	$10.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.36 / $12.97 / $73.84	Professional		$7.36	$12.97	$73.84
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 $9.11 / $9.11 / $9.11	Professional		$9.11	$9.11	$9.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.51 / $4.80 / $8.76	Professional		$3.51	$4.80	$8.76
United Facility/Professional Professional Modifier Low / Median / High Price $2.94 / $4.47 / $8.19	Professional		$2.94	$4.47	$8.19