Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $89.13 / $169.82	Facility		$44.67	$89.13	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $43.65 / $67.61	Professional		$38.02	$43.65	$67.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $147.91 / $616.60	Facility		$64.57	$147.91	$616.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $35.48 / $39.81	Professional		$3.47	$35.48	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $114.82 / $234.42	Facility		$33.11	$114.82	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $60.26 / $79.43	Professional		$36.31	$60.26	$79.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $120.23 / $436.52	Professional		$56.23	$120.23	$436.52
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 $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
United Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $51.29 / $102.33	Facility		$33.11	$51.29	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $37.15 / $51.29	Professional		$21.38	$37.15	$51.29