Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.35 / $99.16 / $236.00	Facility		$27.35	$99.16	$236.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $16.04 / $24.21	Professional		$9.75	$16.04	$24.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $9.19 / $24.83	Professional		$9.19	$9.19	$24.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.63 / $79.05 / $190.40	Facility		$31.63	$79.05	$190.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $12.69 / $14.16	Professional		$3.50	$12.69	$14.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.22 / $45.21 / $84.88	Facility		$19.22	$45.21	$84.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $21.27 / $27.88	Professional		$13.00	$21.27	$27.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $35.59 / $153.79	Professional		$19.30	$35.59	$153.79
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 $23.91 / $23.91 / $23.91	Professional		$23.91	$23.91	$23.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $12.62 / $22.99	Professional		$9.19	$12.62	$22.99
United Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $11.95 / $18.94	Professional		$7.72	$11.95	$18.94