Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.09 / $7.09 / $7.09	Facility		$7.09	$7.09	$7.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $7.09 / $12.62	Professional		$5.50	$7.09	$12.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.21 / $8.21 / $8.21	Professional		$8.21	$8.21	$8.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.07 / $33.96 / $110.70	Facility		$19.07	$33.96	$110.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.40 / $9.47 / $9.47	Professional		$7.40	$9.47	$9.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $7.59 / $13.89	Facility		$7.59	$7.59	$13.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.45 / $7.59 / $14.63	Professional		$6.45	$7.59	$14.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $14.06 / $22.20	Professional		$12.22	$14.06	$22.20
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 $16.42 / $16.42 / $16.42	Professional		$16.42	$16.42	$16.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.01 / $15.79 / $18.95	Professional		$6.01	$15.79	$18.95
United Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $6.30 / $10.82	Professional		$4.47	$6.30	$10.82