Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.68 / $23.68 / $23.68	Facility		$23.68	$23.68	$23.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $16.57 / $20.87	Professional		$13.20	$16.57	$20.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.76 / $15.76 / $15.76	Professional		$15.76	$15.76	$15.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.95 / $56.66 / $86.74	Facility		$45.95	$56.66	$86.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.36 / $18.76 / $24.90	Professional		$18.36	$18.76	$24.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.16 / $19.16 / $19.16	Facility		$19.16	$19.16	$19.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.25 / $21.27 / $32.83	Professional		$15.25	$21.27	$32.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $26.38 / $61.87	Professional		$18.07	$26.38	$61.87
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 $20.19 / $20.79 / $22.13	Professional		$20.19	$20.79	$22.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $32.34 / $32.34	Professional		$21.28	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $13.97 / $19.16 / $31.44	Professional		$13.97	$19.16	$31.44