Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.74 / $68.80 / $187.60	Facility		$25.74	$68.80	$187.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.61 / $16.55 / $21.15	Professional		$13.61	$16.55	$21.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $11.03 / $22.07	Professional		$9.19	$11.03	$22.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.66 / $56.49 / $193.28	Facility		$26.66	$56.49	$193.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $13.07 / $14.16	Professional		$3.50	$13.07	$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 $12.01 / $22.30 / $28.01	Professional		$12.01	$22.30	$28.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $35.59 / $136.96	Professional		$19.30	$35.59	$136.96
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 $6.93 / $10.11 / $18.39	Professional		$6.93	$10.11	$18.39
United Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $12.49 / $21.48	Professional		$7.72	$12.49	$21.48