Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.79 / $83.36 / $381.48	Facility		$39.79	$83.36	$381.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.59 / $34.18 / $57.23	Professional		$31.59	$34.18	$57.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.84 / $20.84 / $20.84	Professional		$20.84	$20.84	$20.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.26 / $97.99 / $438.02	Facility		$56.26	$97.99	$438.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $28.76 / $32.09	Professional		$3.50	$28.76	$32.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.76 / $92.28 / $192.09	Facility		$52.76	$92.28	$192.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.34 / $50.78 / $79.81	Professional		$21.34	$50.78	$79.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.06 / $72.94 / $176.15	Professional		$46.06	$72.94	$176.15
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 $54.18 / $54.18 / $54.18	Professional		$54.18	$54.18	$54.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $48.09 / $62.52	Professional		$21.88	$48.09	$62.52
United Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $26.29 / $43.81	Professional		$17.51	$26.29	$43.81