Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.08 / $79.52 / $520.38	Facility		$23.08	$79.52	$520.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $16.00 / $32.46	Professional		$13.24	$16.00	$32.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.06 / $8.94 / $10.74	Professional		$8.06	$8.94	$10.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.04 / $57.63 / $188.09	Facility		$26.04	$57.63	$188.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $12.35 / $13.78	Professional		$3.50	$12.35	$13.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.70 / $43.50 / $81.90	Facility		$18.70	$43.50	$81.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.70 / $20.86 / $27.36	Professional		$11.70	$20.86	$27.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $32.49 / $282.54	Professional		$18.80	$32.49	$282.54
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 $23.27 / $23.27 / $23.27	Professional		$23.27	$23.27	$23.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.65 / $9.30 / $17.89	Professional		$4.65	$9.30	$17.89
United Facility/Professional Professional Modifier Low / Median / High Price $7.52 / $13.41 / $24.15	Professional		$7.52	$13.41	$24.15