Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.90 / $37.68 / $166.48	Facility		$20.90	$37.68	$166.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.90 / $21.56 / $31.96	Professional		$20.90	$21.56	$31.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.08 / $25.08 / $25.08	Professional		$25.08	$25.08	$25.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.72 / $164.70 / $484.95	Facility		$68.72	$164.70	$484.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.90 / $30.39 / $30.39	Professional		$26.90	$30.39	$30.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.52 / $21.52 / $21.52	Facility		$21.52	$21.52	$21.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.52 / $21.52 / $27.91	Professional		$21.52	$21.52	$27.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $64.37 / $200.64	Professional		$21.53	$64.37	$200.64
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 $27.99 / $27.99 / $27.99	Professional		$27.99	$27.99	$27.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.56 / $30.18 / $32.34	Professional		$21.56	$30.18	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $22.82 / $78.20	Professional		$21.53	$22.82	$78.20