Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.91 / $53.91 / $53.91	Facility		$53.91	$53.91	$53.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $19.57 / $39.63	Professional		$17.73	$19.57	$39.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.37 / $10.37 / $10.37	Professional		$10.37	$10.37	$10.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.32 / $40.32 / $40.32	Facility		$40.32	$40.32	$40.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $15.90 / $17.73	Professional		$3.50	$15.90	$17.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.31 / $28.02 / $43.40	Professional		$11.31	$28.02	$43.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.65 / $46.08 / $110.97	Professional		$27.65	$46.08	$110.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.33 / $33.86 / $34.56	Professional		$31.33	$33.86	$34.56
United Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $23.73 / $36.63	Professional		$13.82	$23.73	$36.63