Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.70 / $423.51 / $688.60	Facility		$67.70	$423.51	$688.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.36 / $24.84 / $79.08	Professional		$7.36	$24.84	$79.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $54.05 / $75.52	Professional		$9.63	$54.05	$75.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.50 / $198.10 / $476.00	Facility		$110.50	$198.10	$476.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $35.00 / $35.00	Professional		$3.50	$35.00	$35.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.83 / $95.78 / $180.18	Facility		$22.83	$95.78	$180.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.14 / $47.08 / $59.79	Professional		$22.14	$47.08	$59.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.87 / $46.02 / $228.08	Professional		$31.87	$46.02	$228.08
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 $39.46 / $39.64 / $42.73	Professional		$39.46	$39.64	$42.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $16.92 / $24.56 / $43.42	Professional		$16.92	$24.56	$43.42