Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.84 / $120.25 / $297.00	Facility		$12.84	$120.25	$297.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $6.54 / $8.99	Professional		$3.88	$6.54	$8.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $9.80 / $12.26	Professional		$4.09	$9.80	$12.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.15 / $35.42 / $148.68	Facility		$13.15	$35.42	$148.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $5.64 / $6.29	Professional		$3.50	$5.64	$6.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.52 / $19.62 / $37.22	Facility		$8.52	$19.62	$37.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.33 / $9.59 / $12.39	Professional		$5.33	$9.59	$12.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.39 / $14.30 / $120.00	Professional		$8.39	$14.30	$120.00
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 $10.62 / $10.62 / $10.62	Professional		$10.62	$10.62	$10.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $5.60 / $10.21	Professional		$4.09	$5.60	$10.21
United Facility/Professional Facility Modifier Low / Median / High Price $5.60 / $8.17 / $9.80	Facility		$5.60	$8.17	$9.80
United Facility/Professional Professional Modifier Low / Median / High Price $3.43 / $5.01 / $8.42	Professional		$3.43	$5.01	$8.42