Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $18.17 / $622.54	Facility		$5.01	$18.17	$622.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $6.25 / $10.76	Professional		$2.14	$6.25	$10.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.94 / $11.31 / $13.30	Professional		$6.94	$11.31	$13.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.80 / $27.16 / $94.24	Facility		$12.80	$27.16	$94.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.15 / $8.07 / $8.07	Professional		$7.15	$8.07	$8.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $5.08 / $6.49	Professional		$5.08	$5.08	$6.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $14.59 / $27.78	Professional		$9.15	$14.59	$27.78
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 $13.99 / $13.99 / $13.99	Professional		$13.99	$13.99	$13.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $14.63 / $16.14	Professional		$5.05	$14.63	$16.14
United Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $5.36 / $9.50	Professional		$3.80	$5.36	$9.50