Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.55 / $5.55 / $5.55	Facility		$5.55	$5.55	$5.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $5.55 / $9.86	Professional		$4.30	$5.55	$9.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.42 / $6.42 / $6.42	Professional		$6.42	$6.42	$6.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.90 / $27.44 / $86.63	Facility		$15.90	$27.44	$86.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.93 / $7.40 / $7.40	Professional		$5.93	$7.40	$7.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.93 / $5.93 / $10.86	Facility		$5.93	$5.93	$10.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.04 / $5.93 / $11.63	Professional		$5.04	$5.93	$11.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $14.22 / $18.43	Professional		$9.86	$14.22	$18.43
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 $12.83 / $12.83 / $12.83	Professional		$12.83	$12.83	$12.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.48 / $12.34 / $14.81	Professional		$4.48	$12.34	$14.81
United Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $4.93 / $8.46	Professional		$3.47	$4.93	$8.46