Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.28 / $137.27 / $799.20	Facility		$22.28	$137.27	$799.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $14.10 / $18.64	Professional		$9.44	$14.10	$18.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.14 / $23.14 / $23.14	Professional		$23.14	$23.14	$23.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.98 / $66.51 / $160.24	Facility		$26.98	$66.51	$160.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $11.83 / $13.20	Professional		$3.50	$11.83	$13.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.60 / $41.78 / $78.92	Facility		$17.60	$41.78	$78.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.03 / $21.06 / $26.33	Professional		$14.03	$21.06	$26.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $27.42 / $169.70	Professional		$18.00	$27.42	$169.70
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 $22.28 / $22.28 / $22.28	Professional		$22.28	$22.28	$22.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $11.76 / $21.43	Professional		$6.30	$11.76	$21.43
United Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $10.28 / $18.01	Professional		$7.20	$10.28	$18.01