Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.86 / $30.96 / $280.79	Facility		$6.86	$30.96	$280.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.58 / $4.92 / $12.92	Professional		$4.58	$4.92	$12.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.43 / $3.43 / $3.43	Professional		$3.43	$3.43	$3.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.20 / $60.06 / $287.58	Facility		$24.20	$60.06	$287.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $4.40 / $4.40	Professional		$3.50	$4.40	$4.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.98 / $13.69 / $26.80	Facility		$5.98	$13.69	$26.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.74 / $7.02 / $8.80	Professional		$3.74	$7.02	$8.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $6.01 / $11.06 / $44.28	Professional		$6.01	$11.06	$44.28
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 $7.44 / $7.44 / $7.44	Professional		$7.44	$7.44	$7.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.86 / $3.92 / $7.15	Professional		$2.86	$3.92	$7.15
United Facility/Professional Facility Modifier Low / Median / High Price $1.89 / $1.89 / $1.89	Facility		$1.89	$1.89	$1.89
United Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $3.92 / $6.68	Professional		$2.40	$3.92	$6.68