Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $29.28 / $91.23	Facility		$10.72	$29.28	$91.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $8.44 / $9.71	Professional		$7.95	$8.44	$9.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.83 / $5.83 / $5.83	Professional		$5.83	$5.83	$5.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.07 / $29.59 / $102.10	Facility		$14.07	$29.59	$102.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $7.11 / $7.48	Professional		$3.50	$7.11	$7.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.14 / $23.88 / $44.67	Facility		$10.14	$23.88	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.34 / $11.98 / $14.98	Professional		$6.34	$11.98	$14.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $18.79 / $110.73	Professional		$10.19	$18.79	$110.73
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 $12.62 / $12.62 / $12.62	Professional		$12.62	$12.62	$12.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $6.66 / $12.14	Professional		$3.57	$6.66	$12.14
United Facility/Professional Professional Modifier Low / Median / High Price $4.08 / $6.30 / $10.00	Professional		$4.08	$6.30	$10.00