Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.00 / $210.60 / $987.50	Facility		$11.00	$210.60	$987.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $77.84 / $3,798.96	Professional		$75.00	$77.84	$3,798.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,027.60 / $2,027.60 / $2,340.00	Professional		$2,027.60	$2,027.60	$2,340.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.76 / $34.19 / $66.25	Facility		$18.76	$34.19	$66.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $3.50 / $3.50	Professional		$3.50	$3.50	$3.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.88 / $227.91 / $473.76	Facility		$128.88	$227.91	$473.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.78 / $106.82 / $127.98	Professional		$101.78	$106.82	$127.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $150.00 / $345.40	Professional		$100.00	$150.00	$345.40
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $1,500.00 / $2,500.00	Professional		$30.00	$1,500.00	$2,500.00