Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.34 / $153.85 / $291.31	Facility		$67.34	$153.85	$291.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.24 / $60.62 / $80.56	Professional		$55.24	$60.62	$80.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.68 / $80.83 / $90.94	Professional		$33.68	$80.83	$90.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.96 / $212.51 / $708.02	Facility		$97.96	$212.51	$708.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $46.48 / $51.87	Professional		$3.50	$46.48	$51.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.38 / $164.61 / $309.73	Facility		$70.38	$164.61	$309.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $82.19 / $102.85	Professional		$44.00	$82.19	$102.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $70.73 / $122.27 / $290.82	Professional		$70.73	$122.27	$290.82
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 $87.57 / $87.57 / $87.57	Professional		$87.57	$87.57	$87.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $37.04 / $84.20	Professional		$9.05	$37.04	$84.20
United Facility/Professional Professional Modifier Low / Median / High Price $28.29 / $43.78 / $93.09	Professional		$28.29	$43.78	$93.09