Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $117.49 / $239.88	Facility		$21.38	$117.49	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $95.50	Professional		$12.02	$12.88	$95.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $9.33	Professional		$9.33	$9.33	$9.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $125.89 / $239.88	Facility		$70.79	$125.89	$239.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Professional		$12.88	$12.88	$12.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Facility		$13.18	$13.18	$13.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $93.33 / $199.53	Professional		$54.95	$93.33	$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 $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $97.72 / $97.72	Facility		$12.88	$97.72	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $14.13	Professional		$12.88	$12.88	$14.13