Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $60.26 / $104.71	Facility		$39.81	$60.26	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $40.74 / $8,317.64	Professional		$38.90	$40.74	$8,317.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $288.40 / $1,584.89	Facility		$60.26	$288.40	$1,584.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $83.18	Professional		$74.13	$74.13	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $56.23	Professional		$39.81	$39.81	$56.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $177.83 / $234.42	Professional		$46.77	$177.83	$234.42
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 $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $30.20 / $30.20	Professional		$10.96	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $46.77 / $75.86	Facility		$39.81	$46.77	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $42.66 / $51.29	Professional		$39.81	$42.66	$51.29