Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.87 / $7.99 / $7.99	Facility		$6.87	$7.99	$7.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $6.87 / $12.23	Professional		$3.75	$6.87	$12.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.04 / $8.57 / $8.57	Professional		$7.04	$8.57	$8.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.07 / $33.09 / $107.30	Facility		$19.07	$33.09	$107.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.35 / $9.18 / $9.18	Professional		$7.35	$9.18	$9.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.35 / $7.35 / $13.46	Facility		$7.35	$7.35	$13.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.25 / $7.35 / $14.25	Professional		$6.25	$7.35	$14.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $14.25 / $25.53	Professional		$11.80	$14.25	$25.53
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 $15.91 / $15.91 / $15.91	Professional		$15.91	$15.91	$15.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.83 / $15.30 / $18.36	Professional		$5.83	$15.30	$18.36
United Facility/Professional Facility Modifier Low / Median / High Price $0.08 / $4.72 / $5.58	Facility		$0.08	$4.72	$5.58
United Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $6.11 / $10.49	Professional		$4.30	$6.11	$10.49