Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.02 / $56.02 / $59.85	Facility		$56.02	$56.02	$59.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.46 / $55.54 / $67.63	Professional		$46.46	$55.54	$67.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.52 / $59.52 / $59.52	Professional		$59.52	$59.52	$59.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $231.54 / $231.54 / $231.54	Facility		$231.54	$231.54	$231.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.02 / $61.29 / $65.72	Professional		$56.02	$61.29	$65.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.31 / $78.31 / $78.31	Facility		$78.31	$78.31	$78.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.95 / $55.95 / $81.67	Professional		$55.95	$55.95	$81.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.28 / $74.20 / $137.99	Professional		$54.28	$74.20	$137.99
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 $70.69 / $72.83 / $83.02	Professional		$70.69	$72.83	$83.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $93.87	Professional		$32.34	$32.34	$93.87
United Facility/Professional Professional Modifier Low / Median / High Price $60.09 / $81.48 / $124.66	Professional		$60.09	$81.48	$124.66