Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.42 / $67.70 / $156.80	Facility		$15.42	$67.70	$156.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $10.25 / $14.12	Professional		$9.11	$10.25	$14.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $14.12 / $17.66	Professional		$5.89	$14.12	$17.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.36 / $38.40 / $123.66	Facility		$17.36	$38.40	$123.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $8.36 / $9.06	Professional		$3.50	$8.36	$9.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.31 / $29.00 / $53.61	Facility		$12.31	$29.00	$53.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.69 / $14.46 / $18.07	Professional		$7.69	$14.46	$18.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.36 / $20.60 / $150.00	Professional		$12.36	$20.60	$150.00
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 $15.30 / $15.30 / $15.30	Professional		$15.30	$15.30	$15.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $8.07 / $14.71	Professional		$5.89	$8.07	$14.71
United Facility/Professional Professional Modifier Low / Median / High Price $4.94 / $8.44 / $11.77	Professional		$4.94	$8.44	$11.77