Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.60 / $67.45 / $113.54	Facility		$50.60	$67.45	$113.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.13 / $80.01 / $173.03	Professional		$56.13	$80.01	$173.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.69 / $91.83 / $113.01	Professional		$72.69	$91.83	$113.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.58 / $308.07 / $1,068.82	Facility		$125.58	$308.07	$1,068.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.80 / $86.88 / $89.65	Professional		$86.80	$86.88	$89.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.36 / $99.79 / $147.72	Professional		$65.36	$99.79	$147.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $79.93 / $116.91 / $226.23	Professional		$79.93	$116.91	$226.23
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 $90.00 / $94.42 / $105.89	Professional		$90.00	$94.42	$105.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $110.77	Professional		$32.34	$32.34	$110.77
United Facility/Professional Professional Modifier Low / Median / High Price $60.49 / $84.79 / $139.30	Professional		$60.49	$84.79	$139.30