Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $2.29	Professional		$2.00	$2.00	$2.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.09 / $2.09	Professional		$2.09	$2.09	$2.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $37.15 / $91.20	Facility		$7.76	$37.15	$91.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Professional		$2.00	$2.00	$2.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $6.46	Professional		$6.46	$6.46	$6.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $169.82 / $346.74	Professional		$120.23	$169.82	$346.74
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Professional		$3.02	$3.02	$3.02