Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.56 / $13.07 / $52.19	Facility		$5.56	$13.07	$52.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $4.13 / $6.52	Professional		$2.52	$4.13	$6.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.85 / $2.85 / $2.85	Professional		$2.85	$2.85	$2.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.64 / $16.14 / $49.95	Facility		$7.64	$16.14	$49.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.28 / $3.66 / $3.77	Professional		$3.28	$3.66	$3.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.97 / $11.69 / $22.34	Facility		$4.97	$11.69	$22.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $5.78 / $7.34	Professional		$3.10	$5.78	$7.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.99 / $9.18 / $76.48	Professional		$4.99	$9.18	$76.48
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 $6.18 / $6.18 / $6.18	Professional		$6.18	$6.18	$6.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.38 / $2.61 / $5.94	Professional		$2.38	$2.61	$5.94
United Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.09 / $6.60	Professional		$2.00	$3.09	$6.60