Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.36 / $23.08 / $87.68	Facility		$5.36	$23.08	$87.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.42 / $3.87 / $9.30	Professional		$3.42	$3.87	$9.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $5.76 / $5.76	Professional		$2.56	$5.76	$5.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.96 / $16.14 / $59.85	Facility		$6.96	$16.14	$59.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.29 / $3.60 / $4.40	Professional		$3.29	$3.60	$4.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.46 / $10.24 / $19.36	Facility		$4.46	$10.24	$19.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $5.37 / $6.71	Professional		$2.79	$5.37	$6.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.48 / $8.19 / $64.23	Professional		$4.48	$8.19	$64.23
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 $5.55 / $5.55 / $5.55	Professional		$5.55	$5.55	$5.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.93 / $5.34	Professional		$2.14	$2.93	$5.34
United Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $4.20 / $5.96	Professional		$2.56	$4.20	$5.96