Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $87.10 / $295.12	Facility		$10.47	$87.10	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.94 / $91.20	Professional		$6.03	$7.94	$91.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $5.25 / $8.71	Professional		$3.47	$5.25	$8.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $23.44 / $117.49	Facility		$11.75	$23.44	$117.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $6.61 / $8.71	Professional		$3.47	$6.61	$8.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $19.95 / $39.81	Facility		$5.62	$19.95	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $10.00 / $13.49	Professional		$5.62	$10.00	$13.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $16.98 / $199.53	Professional		$9.55	$16.98	$199.53
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 $11.22 / $11.22 / $11.22	Professional		$11.22	$11.22	$11.22
United Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $8.71 / $17.38	Facility		$5.62	$8.71	$17.38
United Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $6.17 / $8.71	Professional		$3.63	$6.17	$8.71