Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.31 / $11.82 / $244.28	Facility		$5.31	$11.82	$244.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $4.45 / $6.59	Professional		$2.75	$4.45	$6.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $3.11 / $3.11	Professional		$3.11	$3.11	$3.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $23.65 / $205.42	Facility		$9.69	$23.65	$205.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $3.99 / $3.99	Professional		$3.50	$3.99	$3.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.40 / $12.78 / $23.83	Facility		$5.40	$12.78	$23.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.38 / $6.20 / $8.00	Professional		$3.38	$6.20	$8.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.44 / $10.01 / $100.00	Professional		$5.44	$10.01	$100.00
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 $6.73 / $6.73 / $6.73	Professional		$6.73	$6.73	$6.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $3.55 / $6.48	Professional		$2.59	$3.55	$6.48
United Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $3.89 / $6.30	Professional		$2.18	$3.89	$6.30