Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $23.99 / $112.20	Facility		$2.82	$23.99	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.19 / $5.37	Professional		$2.00	$2.19	$5.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $2.19 / $2.63	Professional		$1.41	$2.19	$2.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $9.55 / $33.88	Facility		$3.72	$9.55	$33.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $3.16 / $3.63	Professional		$3.16	$3.16	$3.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $2.19 / $2.19	Facility		$2.19	$2.19	$2.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.19 / $2.19	Professional		$2.19	$2.19	$2.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $3.31 / $19.95	Professional		$2.04	$3.31	$19.95
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 $2.88 / $2.88 / $2.88	Professional		$2.88	$2.88	$2.88
United Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $4.07 / $4.07	Facility		$2.45	$4.07	$4.07
United Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.19 / $2.63	Professional		$2.19	$2.19	$2.63