Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $62.50 / $67.50	Professional		$50.00	$62.50	$67.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $72.00 / $72.00	Facility		$72.00	$72.00	$72.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $60.00	Professional		$50.00	$60.00	$60.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $60.00 / $75.00	Facility		$45.00	$60.00	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.07 / $52.39 / $76.50	Professional		$39.07	$52.39	$76.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $52.35 / $90.57 / $184.55	Professional		$52.35	$90.57	$184.55
United Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $66.00	Professional		$66.00	$66.00	$66.00