Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.81 / $25.61 / $77.72	Facility		$13.81	$25.61	$77.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $12.50 / $13.22	Professional		$9.33	$12.50	$13.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $8.61 / $8.61	Professional		$8.61	$8.61	$8.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.08 / $45.73 / $150.83	Facility		$21.08	$45.73	$150.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $9.90 / $11.05	Professional		$3.50	$9.90	$11.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.99 / $34.97 / $65.52	Facility		$14.99	$34.97	$65.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $17.35 / $22.01	Professional		$9.36	$17.35	$22.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.07 / $26.55 / $137.99	Professional		$15.07	$26.55	$137.99
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 $18.66 / $18.66 / $18.66	Professional		$18.66	$18.66	$18.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.69 / $7.89 / $17.94	Professional		$3.69	$7.89	$17.94
United Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.61 / $14.35	Professional		$6.03	$8.61	$14.35