Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.99 / $67.88 / $103.32	Facility		$40.99	$67.88	$103.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.19 / $40.99 / $57.70	Professional		$35.19	$40.99	$57.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.72 / $38.72 / $49.01	Professional		$38.72	$38.72	$49.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.58 / $367.42 / $801.59	Facility		$62.58	$367.42	$801.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $58.15 / $63.03	Professional		$40.11	$58.15	$63.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.29 / $60.29 / $60.29	Facility		$60.29	$60.29	$60.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.69 / $54.07 / $87.90	Professional		$39.69	$54.07	$87.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $55.15 / $209.40	Professional		$37.97	$55.15	$209.40
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 $44.67 / $46.25 / $50.21	Professional		$44.67	$46.25	$50.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $52.52	Professional		$32.34	$32.34	$52.52
United Facility/Professional Professional Modifier Low / Median / High Price $38.94 / $56.25 / $89.80	Professional		$38.94	$56.25	$89.80