Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $0.03	Facility		$0.02	$0.03	$0.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.81 / $3.81 / $17.16	Professional		$3.81	$3.81	$17.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $13.35 / $16.53	Professional		$13.22	$13.35	$16.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $82.50 / $113.06 / $201.09	Professional		$82.50	$113.06	$201.09
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00