Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.18 / $39.53 / $148.40	Facility		$16.18	$39.53	$148.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $12.85 / $19.76	Professional		$9.35	$12.85	$19.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.63 / $8.63 / $8.63	Professional		$8.63	$8.63	$8.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.08 / $45.73 / $151.24	Facility		$21.08	$45.73	$151.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $10.23 / $11.08	Professional		$3.50	$10.23	$11.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.05 / $34.97 / $65.52	Facility		$15.05	$34.97	$65.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.40 / $17.35 / $22.01	Professional		$9.40	$17.35	$22.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $27.85 / $150.00	Professional		$15.11	$27.85	$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 $18.71 / $18.71 / $18.71	Professional		$18.71	$18.71	$18.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $9.86 / $17.98	Professional		$7.20	$9.86	$17.98
United Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $8.83 / $14.82	Professional		$6.04	$8.83	$14.82