Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $18.62	Facility		$10.00	$10.00	$18.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $16.22 / $43.65	Professional		$10.00	$16.22	$43.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.30 / $22.39	Professional		$9.12	$12.30	$22.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $51.29 / $199.53	Facility		$21.38	$51.29	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $18.20	Professional		$14.13	$18.20	$18.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $19.95	Professional		$7.41	$7.41	$19.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $25.12 / $100.00	Professional		$15.49	$25.12	$100.00
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 $23.44 / $23.44 / $23.44	Professional		$23.44	$23.44	$23.44
United Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $14.45 / $18.62	Facility		$9.33	$14.45	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $9.12 / $12.59	Professional		$6.03	$9.12	$12.59