Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $114.82 / $309.03	Facility		$38.90	$114.82	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.92 / $95.50	Professional		$21.88	$26.92	$95.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $17.78 / $29.51	Professional		$12.59	$17.78	$29.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $81.28 / $380.19	Facility		$39.81	$81.28	$380.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $20.42 / $23.44	Professional		$3.47	$20.42	$23.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $66.07 / $138.04	Facility		$19.05	$66.07	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $34.67 / $45.71	Professional		$19.50	$34.67	$45.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $57.54 / $275.42	Professional		$32.36	$57.54	$275.42
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 $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
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 / $22.91 / $30.20	Professional		$12.30	$22.91	$30.20