Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.28 / $10.51 / $51.12	Facility		$5.28	$10.51	$51.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.43 / $3.92 / $5.37	Professional		$2.43	$3.92	$5.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.76 / $2.76 / $2.76	Professional		$2.76	$2.76	$2.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.40 / $13.66 / $62.79	Facility		$7.40	$13.66	$62.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $3.54 / $4.59	Professional		$3.50	$3.54	$4.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.80 / $11.04 / $20.85	Facility		$4.80	$11.04	$20.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $5.78 / $7.23	Professional		$3.00	$5.78	$7.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $7.36 / $20.09	Professional		$4.59	$7.36	$20.09
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 $5.98 / $5.98 / $5.98	Professional		$5.98	$5.98	$5.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $3.16 / $5.75	Professional		$2.29	$3.16	$5.75
United Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $4.59 / $5.52	Facility		$3.16	$4.59	$5.52
United Facility/Professional Professional Modifier Low / Median / High Price $1.93 / $2.99 / $4.74	Professional		$1.93	$2.99	$4.74