Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.58 / $138.04 / $296.00	Facility		$25.58	$138.04	$296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $13.45 / $26.12	Professional		$9.89	$13.45	$26.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $9.02 / $20.00	Professional		$4.05	$9.02	$20.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.33 / $75.88 / $205.29	Facility		$26.33	$75.88	$205.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $11.59 / $15.05	Professional		$3.50	$11.59	$15.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.73 / $36.65 / $69.98	Facility		$15.73	$36.65	$69.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.43 / $16.18 / $22.03	Professional		$9.43	$16.18	$22.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.80 / $28.80 / $150.00	Professional		$15.80	$28.80	$150.00
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 $19.57 / $19.57 / $19.57	Professional		$19.57	$19.57	$19.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.52 / $8.27 / $18.80	Professional		$5.52	$8.27	$18.80
United Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $12.62 / $18.05	Professional		$9.02	$12.62	$18.05