Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.61 / $63.00 / $224.56	Facility		$15.61	$63.00	$224.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $10.89 / $20.00	Professional		$9.36	$10.89	$20.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.06 / $6.06 / $7.27	Professional		$6.06	$6.06	$7.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.82 / $55.10 / $149.06	Facility		$20.82	$55.10	$149.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $9.32 / $12.11	Professional		$3.50	$9.32	$12.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.65 / $29.86 / $55.10	Facility		$12.65	$29.86	$55.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $14.87 / $18.59	Professional		$8.76	$14.87	$18.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.72 / $21.93 / $109.10	Professional		$12.72	$21.93	$109.10
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 $15.74 / $15.74 / $15.74	Professional		$15.74	$15.74	$15.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.06 / $8.31 / $15.14	Professional		$6.06	$8.31	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $7.71 / $14.14	Professional		$5.09	$7.71	$14.14