Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.38 / $49.56 / $243.08	Facility		$13.38	$49.56	$243.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.02 / $13.75	Professional		$8.32	$10.02	$13.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $15.00 / $16.89	Professional		$6.76	$15.00	$16.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.32 / $35.67 / $118.34	Facility		$16.32	$35.67	$118.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $8.24 / $8.67	Professional		$3.50	$8.24	$8.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $27.28 / $52.12	Facility		$11.75	$27.28	$52.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.35 / $13.63 / $17.21	Professional		$7.35	$13.63	$17.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $21.77 / $139.16	Professional		$11.82	$21.77	$139.16
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 $14.64 / $14.64 / $14.64	Professional		$14.64	$14.64	$14.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $6.19 / $14.08	Professional		$4.13	$6.19	$14.08
United Facility/Professional Professional Modifier Low / Median / High Price $4.73 / $8.44 / $13.15	Professional		$4.73	$8.44	$13.15