Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $67.61 / $208.93	Facility		$30.20	$67.61	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.30 / $60.26	Professional		$21.88	$26.30	$60.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $17.38 / $17.78	Professional		$14.79	$17.38	$17.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $77.62 / $302.00	Facility		$39.81	$77.62	$302.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $20.42 / $22.39	Professional		$3.47	$20.42	$22.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $66.07 / $134.90	Facility		$19.05	$66.07	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $33.88 / $44.67	Professional		$19.05	$33.88	$44.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $56.23 / $288.40	Professional		$32.36	$56.23	$288.40
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 $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $29.51 / $58.88	Facility		$21.88	$29.51	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $22.39 / $31.62	Professional		$12.30	$22.39	$31.62