Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.88 / $41.05 / $233.32	Facility		$18.88	$41.05	$233.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $16.01 / $17.98	Professional		$12.22	$16.01	$17.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $10.79 / $10.79	Professional		$10.79	$10.79	$10.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.63 / $95.89 / $237.77	Facility		$24.63	$95.89	$237.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $12.78 / $13.84	Professional		$3.50	$12.78	$13.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $44.17 / $83.39	Facility		$19.48	$44.17	$83.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.74 / $20.86 / $27.36	Professional		$11.74	$20.86	$27.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $31.47 / $173.43	Professional		$18.34	$31.47	$173.43
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 $23.37 / $23.37 / $23.37	Professional		$23.37	$23.37	$23.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $12.33 / $22.48	Professional		$8.99	$12.33	$22.48
United Facility/Professional Professional Modifier Low / Median / High Price $7.55 / $11.45 / $18.52	Professional		$7.55	$11.45	$18.52