Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $102.33 / $257.04	Facility		$23.44	$102.33	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $13.80 / $48.98	Professional		$12.02	$13.80	$48.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $9.12 / $18.20	Professional		$6.46	$9.12	$18.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $53.70 / $204.17	Facility		$20.42	$53.70	$204.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $11.48 / $15.14	Professional		$3.47	$11.48	$15.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $33.88 / $69.18	Facility		$9.77	$33.88	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $16.22 / $22.39	Professional		$9.33	$16.22	$22.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $29.51 / $199.53	Professional		$16.60	$29.51	$199.53
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 $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $15.14 / $30.20	Facility		$9.77	$15.14	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.59 / $20.89	Professional		$9.12	$12.59	$20.89