Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.02 / $75.59 / $176.08	Facility		$8.02	$75.59	$176.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $5.00 / $9.98	Professional		$4.59	$5.00	$9.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.36 / $3.36 / $7.56	Professional		$3.36	$3.36	$7.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.80 / $27.48 / $75.14	Facility		$9.80	$27.48	$75.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $4.30 / $5.60	Professional		$3.50	$4.30	$5.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.76 / $13.64 / $25.31	Facility		$5.76	$13.64	$25.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $7.02 / $8.77	Professional		$3.60	$7.02	$8.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.88 / $10.65 / $84.07	Professional		$5.88	$10.65	$84.07
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 $7.28 / $7.28 / $7.28	Professional		$7.28	$7.28	$7.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.80 / $3.84 / $7.00	Professional		$2.80	$3.84	$7.00
United Facility/Professional Professional Modifier Low / Median / High Price $2.35 / $3.81 / $5.77	Professional		$2.35	$3.81	$5.77