Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.18 / $33.86 / $96.28	Facility		$17.18	$33.86	$96.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $13.67 / $17.88	Professional		$8.88	$13.67	$17.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.38 / $8.38 / $20.11	Professional		$8.38	$8.38	$20.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.80 / $53.80 / $223.91	Facility		$24.80	$53.80	$223.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $12.91 / $16.76	Professional		$3.50	$12.91	$16.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.34 / $40.08 / $77.43	Facility		$16.34	$40.08	$77.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.91 / $20.23 / $25.30	Professional		$10.91	$20.23	$25.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $29.16 / $84.07	Professional		$17.10	$29.16	$84.07
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 $21.79 / $21.79 / $21.79	Professional		$21.79	$21.79	$21.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.38 / $11.50 / $20.95	Professional		$8.38	$11.50	$20.95
United Facility/Professional Professional Modifier Low / Median / High Price $10.06 / $15.00 / $21.06	Professional		$10.06	$15.00	$21.06