Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.54 / $52.50 / $220.16	Facility		$18.54	$52.50	$220.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.96 / $13.00 / $17.51	Professional		$11.96	$13.00	$17.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.30 / $8.75 / $19.70	Professional		$7.30	$8.75	$19.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.15 / $45.73 / $153.28	Facility		$21.15	$45.73	$153.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $10.67 / $11.23	Professional		$3.50	$10.67	$11.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.25 / $35.74 / $67.01	Facility		$15.25	$35.74	$67.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $16.93 / $22.20	Professional		$9.52	$16.93	$22.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $26.41 / $128.69	Professional		$15.32	$26.41	$128.69
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 $18.97 / $18.97 / $18.97	Professional		$18.97	$18.97	$18.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.35 / $7.30 / $18.23	Professional		$5.35	$7.30	$18.23
United Facility/Professional Professional Modifier Low / Median / High Price $6.13 / $9.44 / $14.59	Professional		$6.13	$9.44	$14.59