Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.24 / $199.67 / $878.00	Facility		$24.24	$199.67	$878.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.39 / $8.56 / $14.54	Professional		$7.39	$8.56	$14.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.75 / $5.28 / $12.67	Professional		$4.75	$5.28	$12.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.21 / $56.02 / $202.75	Facility		$17.21	$56.02	$202.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $8.44 / $10.56	Professional		$3.50	$8.44	$10.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.03 / $25.59 / $49.14	Facility		$11.03	$25.59	$49.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.90 / $12.80 / $16.01	Professional		$6.90	$12.80	$16.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.09 / $20.45 / $120.00	Professional		$11.09	$20.45	$120.00
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 $13.73 / $13.73 / $13.73	Professional		$13.73	$13.73	$13.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.28 / $7.24 / $13.20	Professional		$5.28	$7.24	$13.20
United Facility/Professional Professional Modifier Low / Median / High Price $4.44 / $6.48 / $12.34	Professional		$4.44	$6.48	$12.34