Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $154.88 / $331.13	Facility		$2.82	$154.88	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $4.68	Professional		$1.00	$1.00	$4.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.07 / $1.41	Professional		$1.07	$1.07	$1.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $14.13 / $61.66	Facility		$4.79	$14.13	$61.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $3.89	Professional		$3.89	$3.89	$3.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.41 / $1.41 / $1.41	Facility		$1.41	$1.41	$1.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.41 / $1.66	Professional		$1.41	$1.41	$1.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $4.68 / $7.41	Professional		$1.41	$4.68	$7.41
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 $1.86 / $1.86 / $1.86	Professional		$1.86	$1.86	$1.86
United Facility/Professional Facility Modifier Low / Median / High Price $1.45 / $2.34 / $2.34	Facility		$1.45	$2.34	$2.34
United Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.41 / $1.91	Professional		$1.41	$1.41	$1.91