Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.42 / $64.23 / $209.60	Facility		$19.42	$64.23	$209.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $23.50 / $46.16	Professional		$11.54	$23.50	$46.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $10.36 / $10.36	Professional		$10.36	$10.36	$10.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.79 / $71.28 / $251.76	Facility		$22.79	$71.28	$251.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $12.28 / $13.30	Professional		$3.50	$12.28	$13.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.07 / $41.33 / $78.92	Facility		$12.07	$41.33	$78.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.82 / $19.82 / $25.18	Professional		$7.82	$19.82	$25.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.02 / $27.63 / $181.47	Professional		$18.02	$27.63	$181.47
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 $22.45 / $22.45 / $22.45	Professional		$22.45	$22.45	$22.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.64 / $11.85 / $21.59	Professional		$8.64	$11.85	$21.59
United Facility/Professional Facility Modifier Low / Median / High Price $20.72 / $20.72 / $20.72	Facility		$20.72	$20.72	$20.72
United Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $10.36 / $17.27	Professional		$7.25	$10.36	$17.27