Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $28.18 / $44.67	Facility		$14.79	$28.18	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $23.99	Professional		$10.00	$12.88	$23.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $6.31	Professional		$6.31	$6.31	$6.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $38.90 / $151.36	Facility		$19.95	$38.90	$151.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $10.23 / $11.75	Professional		$3.47	$10.23	$11.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $33.11 / $67.61	Facility		$9.55	$33.11	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $16.98 / $22.39	Professional		$9.55	$16.98	$22.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $28.18 / $123.03	Professional		$16.22	$28.18	$123.03
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 $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
United Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $14.79 / $29.51	Facility		$10.96	$14.79	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $11.22 / $17.78	Professional		$6.17	$11.22	$17.78