Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $43.65 / $218.78	Professional		$26.92	$43.65	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $37.15	Professional		$16.98	$16.98	$37.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $48.98 / $57.54	Professional		$39.81	$48.98	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $35.48 / $87.10	Professional		$16.98	$35.48	$87.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $63.10 / $263.03	Professional		$38.90	$63.10	$263.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $43.65 / $74.13	Professional		$25.12	$43.65	$74.13