Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $21.38 / $33.88	Facility		$19.05	$21.38	$33.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $24.55	Professional		$19.05	$19.05	$24.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $12.02	Professional		$7.59	$7.59	$12.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165,958.69 / $234,422.88 / $812,830.52	Facility		$165,958.69	$234,422.88	$812,830.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $23.44 / $64.57	Professional		$14.79	$23.44	$64.57
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 / $19.50	Professional		$17.38	$17.78	$19.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $37.15	Facility		$14.79	$14.79	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $25.12 / $27.54	Professional		$22.91	$25.12	$27.54