Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $51.29 / $89.13	Facility		$30.20	$51.29	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $33.88	Professional		$19.05	$23.99	$33.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $39.81 / $51.29	Facility		$35.48	$39.81	$51.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $44.67	Professional		$29.51	$29.51	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $67.61 / $138.04	Facility		$19.05	$67.61	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $36.31 / $43.65	Professional		$34.67	$36.31	$43.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $41.69 / $125.89	Professional		$30.90	$41.69	$125.89
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $58.88	Facility		$29.51	$29.51	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $18.20 / $30.20	Professional		$12.30	$18.20	$30.20