Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $74.13 / $186.21	Facility		$38.90	$74.13	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.18 / $64.57	Professional		$22.91	$28.18	$64.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.95 / $27.54	Professional		$16.22	$19.95	$27.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $70.79 / $331.13	Facility		$42.66	$70.79	$331.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $22.39 / $25.12	Professional		$3.47	$22.39	$25.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $72.44 / $147.91	Facility		$20.89	$72.44	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $37.15 / $48.98	Professional		$20.89	$37.15	$48.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $60.26 / $346.74	Professional		$35.48	$60.26	$346.74
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 $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
United Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $32.36 / $64.57	Facility		$23.99	$32.36	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $19.50 / $33.88	Professional		$13.49	$19.50	$33.88