Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.34 / $35.40 / $89.40	Facility		$7.34	$35.40	$89.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.15 / $4.38 / $6.43	Professional		$4.15	$4.38	$6.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.92 / $3.38 / $6.83	Professional		$2.92	$3.38	$6.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.14 / $16.46 / $53.04	Facility		$8.14	$16.46	$53.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.49 / $3.90 / $5.05	Professional		$3.49	$3.90	$5.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.09 / $12.20 / $23.83	Facility		$5.09	$12.20	$23.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.18 / $6.20 / $7.75	Professional		$3.18	$6.20	$7.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.31 / $8.86 / $53.31	Professional		$5.31	$8.86	$53.31
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 $6.58 / $6.58 / $6.58	Professional		$6.58	$6.58	$6.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $3.47 / $6.33	Professional		$2.52	$3.47	$6.33
United Facility/Professional Professional Modifier Low / Median / High Price $2.13 / $3.04 / $5.68	Professional		$2.13	$3.04	$5.68