Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.93 / $27.19 / $51.79	Facility		$21.93	$27.19	$51.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.17 / $29.24 / $39.44	Professional		$22.17	$29.24	$39.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.47 / $27.47 / $27.47	Professional		$27.47	$27.47	$27.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.26 / $124.26 / $124.26	Facility		$124.26	$124.26	$124.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.96 / $35.95 / $45.84	Professional		$26.96	$35.95	$45.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.60 / $42.60 / $42.60	Facility		$42.60	$42.60	$42.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.65 / $45.34 / $68.87	Professional		$28.65	$45.34	$68.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.76 / $38.34 / $90.76	Professional		$27.76	$38.34	$90.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $32.54 / $52.05	Professional		$30.00	$32.54	$52.05
United Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $36.65 / $60.13	Professional		$29.00	$36.65	$60.13