Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $87.10 / $234.42	Facility		$26.92	$87.10	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.95 / $44.67	Professional		$16.98	$19.95	$44.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $46.77	Professional		$13.49	$13.49	$46.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $60.26 / $229.09	Facility		$30.20	$60.26	$229.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $18.20 / $26.92	Professional		$15.49	$18.20	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $50.12 / $102.33	Facility		$14.45	$50.12	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $25.70 / $54.95	Professional		$18.62	$25.70	$54.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $43.65 / $208.93	Professional		$24.55	$43.65	$208.93
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 $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $13.49 / $33.11	Professional		$6.76	$13.49	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $22.39 / $44.67	Facility		$12.88	$22.39	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $14.13 / $36.31	Professional		$9.33	$14.13	$36.31