Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $95.50 / $323.59	Facility		$23.44	$95.50	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $17.78 / $39.81	Professional		$14.13	$17.78	$39.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $11.75 / $29.51	Professional		$5.25	$11.75	$29.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $52.48 / $204.17	Facility		$26.30	$52.48	$204.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $13.49 / $15.14	Professional		$3.47	$13.49	$15.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $43.65 / $91.20	Facility		$12.88	$43.65	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $22.91 / $30.20	Professional		$13.80	$22.91	$30.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $50.12 / $281.84	Professional		$20.42	$50.12	$281.84
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 $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $19.50 / $38.90	Facility		$12.88	$19.50	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $14.13 / $19.50	Professional		$8.32	$14.13	$19.50