Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.55 / $39.59 / $60.08	Facility		$27.55	$39.59	$60.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.41 / $29.95 / $84.92	Professional		$24.41	$29.95	$84.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.06 / $27.27 / $32.22	Professional		$25.06	$27.27	$32.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.59 / $143.35 / $555.65	Facility		$65.59	$143.35	$555.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.47 / $42.03 / $50.18	Professional		$26.47	$42.03	$50.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.06 / $35.04 / $58.55	Professional		$25.06	$35.04	$58.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.53 / $35.74 / $145.88	Professional		$24.53	$35.74	$145.88
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 $28.99 / $29.55 / $31.03	Professional		$28.99	$29.55	$31.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.36 / $32.34 / $35.09	Professional		$29.36	$32.34	$35.09
United Facility/Professional Professional Modifier Low / Median / High Price $22.99 / $32.70 / $51.83	Professional		$22.99	$32.70	$51.83