Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.16 / $30.83 / $68.56	Facility		$14.16	$30.83	$68.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $12.39 / $14.87	Professional		$9.15	$12.39	$14.87
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 / $12.63 / $13.30	Professional		$3.50	$12.63	$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 $18.13 / $30.22 / $159.61	Professional		$18.13	$30.22	$159.61
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 Professional Modifier Low / Median / High Price $7.25 / $10.36 / $17.27	Professional		$7.25	$10.36	$17.27