Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.60 / $138.88 / $220.81	Facility		$23.60	$138.88	$220.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $49.03 / $72.62	Professional		$16.57	$49.03	$72.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.53 / $69.53 / $69.53	Professional		$69.53	$69.53	$69.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.07 / $71.20 / $104.54	Facility		$22.07	$71.20	$104.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.67 / $66.05 / $143.82	Professional		$20.67	$66.05	$143.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.89 / $28.89 / $28.89	Facility		$28.89	$28.89	$28.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.91 / $65.31 / $125.14	Professional		$20.91	$65.31	$125.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.31 / $105.11 / $201.52	Professional		$23.31	$105.11	$201.52
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 $20.93 / $22.45 / $101.23	Professional		$20.93	$22.45	$101.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $114.47	Professional		$32.34	$32.34	$114.47
United Facility/Professional Professional Modifier Low / Median / High Price $62.54 / $87.57 / $141.04	Professional		$62.54	$87.57	$141.04