Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.90 / $102.51 / $329.34	Facility		$48.90	$102.51	$329.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.38 / $35.43 / $69.14	Professional		$31.38	$35.43	$69.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.45 / $24.45 / $24.45	Professional		$24.45	$24.45	$24.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.52 / $129.12 / $428.33	Facility		$59.52	$129.12	$428.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $28.96 / $31.38	Professional		$3.50	$28.96	$31.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.57 / $99.78 / $187.62	Facility		$42.57	$99.78	$187.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $49.56 / $62.43	Professional		$26.62	$49.56	$62.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.79 / $73.97 / $245.04	Professional		$42.79	$73.97	$245.04
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 $52.98 / $52.98 / $52.98	Professional		$52.98	$52.98	$52.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.38 / $27.95 / $50.94	Professional		$20.38	$27.95	$50.94
United Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $26.49 / $41.97	Professional		$17.12	$26.49	$41.97