Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $64.57 / $97.72	Facility		$40.74	$64.57	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $52.48 / $131.83	Professional		$38.90	$52.48	$131.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $32.36 / $50.12	Professional		$21.38	$32.36	$50.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $144.54 / $537.03	Facility		$79.43	$144.54	$537.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Facility		$43.65	$43.65	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $30.20 / $102.33	Professional		$14.79	$30.20	$102.33
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 $17.38 / $17.78 / $19.05	Professional		$17.38	$17.78	$19.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $33.88	Professional		$17.38	$17.38	$33.88
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $69.18 / $69.18	Facility		$51.29	$69.18	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $43.65 / $47.86	Professional		$39.81	$43.65	$47.86