Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $53.70 / $79.43	Professional		$42.66	$53.70	$79.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $38.90 / $63.10	Professional		$31.62	$38.90	$63.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $66.07 / $66.07	Professional		$48.98	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $63.10 / $112.20	Professional		$44.67	$63.10	$112.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $109.65 / $177.83	Professional		$43.65	$109.65	$177.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $53.70 / $57.54	Professional		$51.29	$53.70	$57.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $66.07	Professional		$32.36	$33.11	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $66.07 / $100.00	Professional		$48.98	$66.07	$100.00