Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.99 / $111.15 / $345.11	Facility		$30.99	$111.15	$345.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $19.32 / $28.26	Professional		$11.78	$19.32	$28.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $22.23 / $30.00	Professional		$11.12	$22.23	$30.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.74 / $93.47 / $230.13	Facility		$37.74	$93.47	$230.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $15.80 / $17.12	Professional		$3.50	$15.80	$17.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.23 / $54.59 / $102.75	Facility		$23.23	$54.59	$102.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $25.86 / $34.08	Professional		$14.52	$25.86	$34.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.34 / $42.96 / $222.21	Professional		$23.34	$42.96	$222.21
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 $28.90 / $28.90 / $28.90	Professional		$28.90	$28.90	$28.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.16 / $15.25 / $27.79	Professional		$8.16	$15.25	$27.79
United Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $13.34 / $25.97	Professional		$9.34	$13.34	$25.97