Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $27.54 / $77.62	Facility		$13.80	$27.54	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $28.18	Professional		$8.91	$12.02	$28.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $8.32	Professional		$8.32	$8.32	$8.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $36.31 / $141.25	Facility		$18.62	$36.31	$141.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $9.55 / $10.72	Professional		$3.47	$9.55	$10.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $30.90 / $64.57	Facility		$8.91	$30.90	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $16.22 / $21.38	Professional		$8.91	$16.22	$21.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $27.54 / $151.36	Professional		$15.14	$27.54	$151.36
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 $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
United Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $13.80 / $27.54	Facility		$10.23	$13.80	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $10.47 / $13.80	Professional		$5.75	$10.47	$13.80