Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.29 / $81.86 / $101.61	Facility		$36.29	$81.86	$101.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.12 / $36.29 / $51.23	Professional		$22.12	$36.29	$51.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.55 / $26.55 / $26.55	Professional		$26.55	$26.55	$26.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.73 / $191.25 / $585.32	Facility		$59.73	$191.25	$585.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $30.53 / $34.07	Professional		$3.50	$30.53	$34.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.92 / $105.84 / $204.00	Facility		$30.92	$105.84	$204.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.37 / $48.68 / $64.51	Professional		$14.37	$48.68	$64.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.75 / $59.74 / $108.14	Professional		$43.75	$59.74	$108.14
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 $57.53 / $57.53 / $57.53	Professional		$57.53	$57.53	$57.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.21 / $22.13 / $32.52	Professional		$11.21	$22.13	$32.52
United Facility/Professional Professional Modifier Low / Median / High Price $9.78 / $18.59 / $44.25	Professional		$9.78	$18.59	$44.25