Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $48.98	Facility		$28.18	$28.18	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $33.11 / $51.29	Professional		$22.39	$33.11	$51.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $47.86 / $70.79	Professional		$28.18	$47.86	$70.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $125.89 / $416.87	Facility		$74.13	$125.89	$416.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $35.48 / $35.48	Professional		$31.62	$35.48	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $39.81	Professional		$28.84	$28.84	$39.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $66.07 / $117.49	Professional		$42.66	$66.07	$117.49
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 $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Professional		$15.85	$15.85	$15.85
United Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $45.71 / $48.98	Facility		$28.84	$45.71	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $25.70 / $42.66	Professional		$18.62	$25.70	$42.66