Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $234.42 / $912.01	Facility		$63.10	$234.42	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $30.20 / $100.00	Professional		$10.00	$30.20	$100.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.02 / $15.49	Professional		$10.23	$12.02	$15.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $64.57 / $151.36	Facility		$38.02	$64.57	$151.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $13.49 / $16.22	Professional		$11.75	$13.49	$16.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Facility		$18.62	$18.62	$18.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.14 / $22.91	Professional		$10.72	$15.14	$22.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $16.22 / $112.20	Professional		$11.75	$16.22	$112.20
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 $13.80 / $14.13 / $16.22	Professional		$13.80	$14.13	$16.22
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 $11.75 / $11.75 / $11.75	Facility		$11.75	$11.75	$11.75
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $13.49 / $20.42	Professional		$9.77	$13.49	$20.42