Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $50.12 / $81.28	Facility		$30.90	$50.12	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $43.65 / $58.88	Professional		$28.84	$43.65	$58.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $41.69 / $69.18	Professional		$34.67	$41.69	$69.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $42.66 / $630.96	Facility		$32.36	$42.66	$630.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $53.70 / $79.43	Professional		$34.67	$53.70	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $54.95 / $87.10	Professional		$33.88	$54.95	$87.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $58.88 / $125.89	Professional		$32.36	$58.88	$125.89
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 $36.31 / $38.02 / $67.61	Professional		$36.31	$38.02	$67.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $52.48 / $83.18	Professional		$31.62	$52.48	$83.18