Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.84 / $35.81 / $249.57	Facility		$15.84	$35.81	$249.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $12.22 / $13.72	Professional		$8.92	$12.22	$13.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $8.23 / $8.23	Professional		$8.23	$8.23	$8.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.20 / $34.97 / $142.02	Facility		$19.20	$34.97	$142.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $9.75 / $10.56	Professional		$3.50	$9.75	$10.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.34 / $33.26 / $62.54	Facility		$14.34	$33.26	$62.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.96 / $16.52 / $20.81	Professional		$8.96	$16.52	$20.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.41 / $24.01 / $294.26	Professional		$14.41	$24.01	$294.26
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 $17.84 / $17.84 / $17.84	Professional		$17.84	$17.84	$17.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.04 / $9.41 / $17.14	Professional		$5.04	$9.41	$17.14
United Facility/Professional Facility Modifier Low / Median / High Price $13.72 / $14.41 / $33.89	Facility		$13.72	$14.41	$33.89
United Facility/Professional Professional Modifier Low / Median / High Price $5.76 / $8.23 / $16.02	Professional		$5.76	$8.23	$16.02