Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $15.85 / $128.82	Facility		$8.13	$15.85	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $8.13 / $22.91	Professional		$7.94	$8.13	$22.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Professional		$8.13	$8.13	$8.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $19.50 / $60.26	Facility		$11.48	$19.50	$60.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $10.00 / $10.47	Professional		$9.12	$10.00	$10.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Facility		$8.13	$8.13	$8.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $10.47	Professional		$8.13	$8.13	$10.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $33.11 / $57.54	Professional		$8.13	$33.11	$57.54
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 $10.72 / $10.72 / $10.72	Professional		$10.72	$10.72	$10.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $10.96 / $12.02	Professional		$8.51	$10.96	$12.02
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $13.49 / $13.49	Facility		$8.13	$13.49	$13.49
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.71 / $9.12	Professional		$8.13	$8.71	$9.12