Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.55 / $40.25 / $128.00	Facility		$18.55	$40.25	$128.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.19 / $17.66 / $19.63	Professional		$15.19	$17.66	$19.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $11.78 / $11.78	Professional		$11.78	$11.78	$11.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $61.87 / $206.38	Facility		$28.52	$61.87	$206.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $13.54 / $15.12	Professional		$3.50	$13.54	$15.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.51 / $47.76 / $90.83	Facility		$20.51	$47.76	$90.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.82 / $22.94 / $29.94	Professional		$12.82	$22.94	$29.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.02 / $34.35 / $158.51	Professional		$20.02	$34.35	$158.51
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 $25.52 / $25.52 / $25.52	Professional		$25.52	$25.52	$25.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.21 / $12.95 / $24.54	Professional		$7.21	$12.95	$24.54
United Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $12.60 / $20.22	Professional		$8.24	$12.60	$20.22