Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.44 / $25.72 / $101.79	Facility		$14.44	$25.72	$101.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.43 / $17.48 / $36.01	Professional		$14.43	$17.48	$36.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.79 / $32.79 / $32.79	Professional		$32.79	$32.79	$32.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.40 / $72.52 / $294.73	Facility		$30.40	$72.52	$294.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.10 / $25.72 / $25.72	Professional		$20.10	$25.72	$25.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.49 / $10.49 / $26.38	Professional		$10.49	$10.49	$26.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.86 / $32.65 / $74.95	Professional		$21.86	$32.65	$74.95
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 $33.44 / $33.44 / $33.44	Professional		$33.44	$33.44	$33.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.97 / $36.01 / $38.58	Professional		$34.97	$36.01	$38.58
United Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $12.83 / $22.03	Professional		$9.09	$12.83	$22.03