Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.66 / $2.66 / $2.66	Facility		$2.66	$2.66	$2.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.44 / $2.66 / $4.74	Professional		$1.44	$2.66	$4.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.37 / $3.37 / $4.26	Professional		$3.37	$3.37	$4.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.36 / $12.58 / $45.85	Facility		$6.36	$12.58	$45.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $3.56 / $3.56	Professional		$3.47	$3.56	$3.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $2.85 / $5.21	Facility		$2.69	$2.85	$5.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.42 / $2.42 / $5.68	Professional		$2.42	$2.42	$5.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $6.39 / $12.25	Professional		$4.26	$6.39	$12.25
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 $6.16 / $6.16 / $6.16	Professional		$6.16	$6.16	$6.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.89 / $5.93 / $7.11	Professional		$1.89	$5.93	$7.11
United Facility/Professional Professional Modifier Low / Median / High Price $1.66 / $2.36 / $4.15	Professional		$1.66	$2.36	$4.15