Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $85.34 / $246.02	Facility		$20.32	$85.34	$246.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $13.74 / $15.76	Professional		$10.24	$13.74	$15.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.46 / $9.46 / $9.46	Professional		$9.46	$9.46	$9.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.85 / $48.42 / $165.71	Facility		$22.85	$48.42	$165.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $11.20 / $12.14	Professional		$3.50	$11.20	$12.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.47 / $38.38 / $72.95	Facility		$16.47	$38.38	$72.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $19.41 / $24.26	Professional		$10.30	$19.41	$24.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $30.49 / $309.24	Professional		$16.55	$30.49	$309.24
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 $20.49 / $20.49 / $20.49	Professional		$20.49	$20.49	$20.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.79 / $8.67 / $19.70	Professional		$5.79	$8.67	$19.70
United Facility/Professional Professional Modifier Low / Median / High Price $6.62 / $10.24 / $15.76	Professional		$6.62	$10.24	$15.76