Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.30 / $55.52 / $134.58	Facility		$18.30	$55.52	$134.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.74 / $12.63 / $14.60	Professional		$7.74	$12.63	$14.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $8.76 / $8.76	Professional		$8.76	$8.76	$8.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.17 / $45.73 / $153.41	Facility		$21.17	$45.73	$153.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $10.07 / $11.24	Professional		$3.50	$10.07	$11.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.26 / $35.83 / $67.01	Facility		$15.26	$35.83	$67.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.53 / $17.76 / $22.41	Professional		$9.53	$17.76	$22.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $28.24 / $150.00	Professional		$15.33	$28.24	$150.00
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 $18.98 / $18.98 / $18.98	Professional		$18.98	$18.98	$18.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.36 / $10.02 / $18.25	Professional		$5.36	$10.02	$18.25
United Facility/Professional Professional Modifier Low / Median / High Price $6.13 / $9.92 / $17.05	Professional		$6.13	$9.92	$17.05