Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $39.81 / $39.81	Facility		$23.99	$39.81	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.12 / $42.66	Professional		$20.89	$25.12	$42.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.20 / $36.31	Professional		$20.89	$30.20	$36.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $100.00 / $389.05	Facility		$34.67	$100.00	$389.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $41.69 / $52.48	Professional		$26.92	$41.69	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $44.67	Facility		$37.15	$37.15	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $33.88 / $53.70	Professional		$24.55	$33.88	$53.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $38.90 / $79.43	Professional		$24.55	$38.90	$79.43
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 $29.51 / $30.20 / $31.62	Professional		$29.51	$30.20	$31.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $40.74	Facility		$26.92	$26.92	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $30.20 / $46.77	Professional		$22.39	$30.20	$46.77