Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.86 / $14.47 / $120.99	Facility		$7.86	$14.47	$120.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.86 / $8.22 / $10.61	Professional		$7.86	$8.22	$10.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.86 / $7.86 / $9.43	Professional		$7.86	$7.86	$9.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.61 / $18.50 / $61.43	Facility		$11.61	$18.50	$61.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.21 / $10.00 / $10.40	Professional		$9.21	$10.00	$10.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.22 / $8.22 / $8.22	Facility		$8.22	$8.22	$8.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $8.22 / $10.62	Professional		$8.22	$8.22	$10.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $20.97 / $49.72	Professional		$8.22	$20.97	$49.72
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 $10.69 / $10.69 / $10.69	Professional		$10.69	$10.69	$10.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $11.48 / $12.30	Professional		$8.19	$11.48	$12.30
United Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $8.71 / $9.77	Professional		$8.22	$8.71	$9.77