Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.81 / $40.78 / $521.79	Facility		$29.81	$40.78	$521.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.80 / $29.81 / $96.64	Professional		$23.80	$29.81	$96.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.36 / $34.47 / $43.88	Professional		$29.36	$34.47	$43.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.80 / $149.05 / $601.24	Facility		$60.80	$149.05	$601.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.32 / $44.97 / $52.87	Professional		$28.32	$44.97	$52.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.24 / $35.75 / $56.87	Professional		$26.24	$35.75	$56.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $37.97 / $120.00	Professional		$25.60	$37.97	$120.00
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 $30.26 / $31.14 / $33.19	Professional		$30.26	$31.14	$33.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.40 / $32.34 / $37.53	Professional		$31.40	$32.34	$37.53
United Facility/Professional Professional Modifier Low / Median / High Price $24.69 / $33.20 / $55.42	Professional		$24.69	$33.20	$55.42