Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $109.65 / $436.52	Facility		$12.59	$109.65	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.94 / $37.15	Professional		$6.03	$7.94	$37.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $5.13 / $8.51	Professional		$4.27	$5.13	$8.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $26.92 / $141.25	Facility		$11.48	$26.92	$141.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $6.46 / $8.51	Professional		$3.47	$6.46	$8.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $19.05 / $38.90	Facility		$5.50	$19.05	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $9.55 / $12.88	Professional		$6.03	$9.55	$12.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $16.22 / $131.83	Professional		$9.33	$16.22	$131.83
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 $10.96 / $10.96 / $10.96	Professional		$10.96	$10.96	$10.96
United Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $8.51 / $16.98	Facility		$5.13	$8.51	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $6.03 / $8.51	Professional		$3.55	$6.03	$8.51