Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.23 / $150.10 / $357.76	Facility		$61.23	$150.10	$357.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $45.42 / $48.32	Professional		$39.15	$45.42	$48.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $25.43 / $30.52	Professional		$25.43	$25.43	$30.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.73 / $161.91 / $534.53	Facility		$73.73	$161.91	$534.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $37.20 / $39.15	Professional		$3.50	$37.20	$39.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.14 / $124.51 / $233.78	Facility		$53.14	$124.51	$233.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.22 / $61.95 / $77.64	Professional		$33.22	$61.95	$77.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $53.40 / $94.09 / $371.72	Professional		$53.40	$94.09	$371.72
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 $66.12 / $66.12 / $66.12	Professional		$66.12	$66.12	$66.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.69 / $34.89 / $63.58	Professional		$18.69	$34.89	$63.58
United Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $30.52 / $59.39	Professional		$21.36	$30.52	$59.39