Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.26 / $36.88 / $153.00	Facility		$20.26	$36.88	$153.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.87 / $38.35 / $56.03	Professional		$19.87	$38.35	$56.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.01 / $39.28 / $43.07	Professional		$19.01	$39.28	$43.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.16 / $114.16 / $114.16	Facility		$114.16	$114.16	$114.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.47 / $39.72 / $70.51	Professional		$22.47	$39.72	$70.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.64 / $38.64 / $38.64	Facility		$38.64	$38.64	$38.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $47.58 / $63.56	Professional		$30.00	$47.58	$63.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.67 / $43.22 / $115.63	Professional		$22.67	$43.22	$115.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $62.28	Professional		$32.34	$32.34	$62.28
United Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $54.51 / $97.84	Professional		$41.00	$54.51	$97.84