Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.21 / $34.72 / $85.60	Facility		$15.21	$34.72	$85.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.06 / $13.09 / $19.32	Professional		$8.06	$13.09	$19.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.61 / $7.61 / $9.13	Professional		$7.61	$7.61	$9.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.32 / $49.39 / $159.84	Facility		$22.32	$49.39	$159.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $11.12 / $11.71	Professional		$3.50	$11.12	$11.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.89 / $37.43 / $69.98	Facility		$15.89	$37.43	$69.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $18.59 / $23.24	Professional		$9.93	$18.59	$23.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.97 / $29.43 / $154.78	Professional		$15.97	$29.43	$154.78
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 $19.77 / $19.77 / $19.77	Professional		$19.77	$19.77	$19.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.61 / $10.08 / $19.01	Professional		$7.61	$10.08	$19.01
United Facility/Professional Professional Modifier Low / Median / High Price $6.39 / $9.69 / $15.67	Professional		$6.39	$9.69	$15.67