Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.75 / $7.75 / $7.75	Facility		$7.75	$7.75	$7.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $7.75 / $13.79	Professional		$6.00	$7.75	$13.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.96 / $8.96 / $8.96	Professional		$8.96	$8.96	$8.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.67 / $36.79 / $120.90	Facility		$20.67	$36.79	$120.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.08 / $10.34 / $10.34	Professional		$8.08	$10.34	$10.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.28 / $8.28 / $15.17	Facility		$8.28	$8.28	$15.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.05 / $8.28 / $16.13	Professional		$7.05	$8.28	$16.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $16.79 / $23.32	Professional		$13.44	$16.79	$23.32
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 $17.93 / $17.93 / $17.93	Professional		$17.93	$17.93	$17.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.56 / $17.23 / $20.69	Professional		$6.56	$17.23	$20.69
United Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $6.88 / $12.19	Professional		$4.88	$6.88	$12.19