Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $2.19 / $2.19	Facility		$2.19	$2.19	$2.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.69 / $2.19 / $3.90	Professional		$1.69	$2.19	$3.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $2.54	Professional		$2.54	$2.54	$2.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.36 / $10.97 / $34.00	Facility		$6.36	$10.97	$34.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $2.93 / $2.93	Professional		$2.34	$2.93	$2.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.34 / $2.34 / $4.29	Facility		$2.34	$2.34	$4.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $2.34 / $4.50	Professional		$1.99	$2.34	$4.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.76 / $4.88 / $9.44	Professional		$3.76	$4.88	$9.44
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 $5.07 / $5.07 / $5.07	Professional		$5.07	$5.07	$5.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.42 / $4.88 / $5.85	Professional		$1.42	$4.88	$5.85
United Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $1.94 / $3.33	Professional		$1.38	$1.94	$3.33