Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $42.66 / $407.38	Facility		$4.17	$42.66	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.40 / $6.61	Professional		$2.00	$2.40	$6.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $2.40 / $13.18	Professional		$1.78	$2.40	$13.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $14.79 / $43.65	Facility		$6.46	$14.79	$43.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $3.16 / $3.16	Professional		$2.82	$3.16	$3.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $2.40 / $2.40	Facility		$2.40	$2.40	$2.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $2.40	Professional		$2.40	$2.40	$2.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $12.30 / $41.69	Professional		$2.19	$12.30	$41.69
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 $3.16 / $3.16 / $3.16	Professional		$3.16	$3.16	$3.16
United Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $3.80 / $3.80	Facility		$2.40	$3.80	$3.80
United Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $2.63	Professional		$2.40	$2.40	$2.63