Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $44.67 / $194.98	Facility		$17.38	$44.67	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $22.39 / $28.18	Professional		$12.02	$22.39	$28.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $23.44	Professional		$9.55	$9.55	$23.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $41.69 / $162.18	Facility		$20.89	$41.69	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $10.72 / $12.02	Professional		$3.47	$10.72	$12.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $35.48 / $70.79	Facility		$10.00	$35.48	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $17.78 / $23.99	Professional		$10.00	$17.78	$23.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $30.90 / $199.53	Professional		$16.98	$30.90	$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 $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $15.49 / $30.90	Facility		$11.48	$15.49	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $12.02 / $20.89	Professional		$6.46	$12.02	$20.89