Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.52 / $22.44 / $215.73	Facility		$11.52	$22.44	$215.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.49 / $9.92 / $10.58	Professional		$7.49	$9.92	$10.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $3.11 / $3.11	Professional		$3.11	$3.11	$3.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.79 / $61.57 / $152.55	Facility		$15.79	$61.57	$152.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $7.96 / $8.88	Professional		$3.50	$7.96	$8.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $28.14 / $53.61	Facility		$12.05	$28.14	$53.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $14.04 / $17.61	Professional		$7.54	$14.04	$17.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $20.18 / $111.89	Professional		$11.76	$20.18	$111.89
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 $14.99 / $14.99 / $14.99	Professional		$14.99	$14.99	$14.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $6.34 / $14.41	Professional		$4.23	$6.34	$14.41
United Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $8.86 / $13.46	Professional		$4.84	$8.86	$13.46