Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.79 / $54.40 / $98.99	Facility		$5.79	$54.40	$98.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.27 / $3.63 / $5.67	Professional		$3.27	$3.63	$5.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.39 / $5.39	Professional		$2.00	$2.39	$5.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.42 / $13.45 / $54.46	Facility		$6.42	$13.45	$54.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.07 / $3.60 / $4.11	Professional		$3.07	$3.60	$4.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.18 / $9.52 / $17.87	Facility		$4.18	$9.52	$17.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.61 / $4.96 / $6.20	Professional		$2.61	$4.96	$6.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $7.76 / $68.83	Professional		$4.19	$7.76	$68.83
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 $5.19 / $5.19 / $5.19	Professional		$5.19	$5.19	$5.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $2.19 / $4.99	Professional		$1.45	$2.19	$4.99
United Facility/Professional Professional Modifier Low / Median / High Price $1.68 / $2.59 / $5.59	Professional		$1.68	$2.59	$5.59