Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.83 / $88.64 / $167.20	Facility		$21.83	$88.64	$167.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $12.67 / $25.34	Professional		$8.92	$12.67	$25.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.28 / $7.28 / $17.46	Professional		$7.28	$7.28	$17.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.46 / $61.15 / $150.54	Facility		$24.46	$61.15	$150.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $10.03 / $11.20	Professional		$3.50	$10.03	$11.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.20 / $35.74 / $67.01	Facility		$15.20	$35.74	$67.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.21 / $17.10 / $22.20	Professional		$10.21	$17.10	$22.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $28.15 / $141.11	Professional		$15.28	$28.15	$141.11
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 $18.92 / $18.92 / $18.92	Professional		$18.92	$18.92	$18.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $8.82 / $18.19	Professional		$5.34	$8.82	$18.19
United Facility/Professional Professional Modifier Low / Median / High Price $6.11 / $9.88 / $20.32	Professional		$6.11	$9.88	$20.32