Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $47.86 / $154.88	Facility		$23.99	$47.86	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.42 / $52.48	Professional		$16.98	$20.42	$52.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $14.13	Professional		$13.80	$13.80	$14.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $61.66 / $234.42	Facility		$30.90	$61.66	$234.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $15.85 / $17.38	Professional		$3.47	$15.85	$17.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $51.29 / $104.71	Facility		$14.79	$51.29	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $26.92 / $34.67	Professional		$14.79	$26.92	$34.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $44.67 / $208.93	Professional		$25.12	$44.67	$208.93
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 $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
United Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $22.91 / $45.71	Facility		$16.98	$22.91	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $16.98 / $22.91	Professional		$9.55	$16.98	$22.91