Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $35.48 / $5,248.07	Facility		$20.42	$35.48	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $20.42 / $35.48	Professional		$19.95	$20.42	$35.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $70.79 / $346.74	Facility		$46.77	$70.79	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $32.36 / $100.00	Professional		$19.95	$32.36	$100.00
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 $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $31.62	Facility		$19.95	$19.95	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $21.88	Professional		$20.42	$20.42	$21.88