Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $25.70 / $25.70	Facility		$21.88	$25.70	$25.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $17.38 / $20.89	Professional		$8.32	$17.38	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.47 / $0.47 / $239.88	Facility		$0.47	$0.47	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $20.42 / $26.92	Professional		$12.88	$20.42	$26.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $104.71 / $199.53	Professional		$81.28	$104.71	$199.53
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $19.05 / $25.70	Facility		$12.02	$19.05	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $13.80 / $22.91	Professional		$10.23	$13.80	$22.91