Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.69 / $21.24 / $82.88	Facility		$5.69	$21.24	$82.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.67 / $4.05 / $7.80	Professional		$3.67	$4.05	$7.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $6.00 / $6.05	Professional		$2.69	$6.00	$6.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.30 / $16.14 / $62.82	Facility		$7.30	$16.14	$62.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.60 / $4.50	Professional		$3.45	$3.60	$4.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $11.04 / $20.85	Facility		$4.68	$11.04	$20.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.92 / $5.37 / $6.82	Professional		$2.92	$5.37	$6.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $7.84 / $59.46	Professional		$4.57	$7.84	$59.46
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 $5.82 / $5.82 / $5.82	Professional		$5.82	$5.82	$5.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.64 / $2.46 / $5.60	Professional		$1.64	$2.46	$5.60
United Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $3.00 / $4.48	Professional		$1.88	$3.00	$4.48