Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $40.74 / $302.00	Facility		$16.22	$40.74	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $27.54	Professional		$10.00	$12.02	$27.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $9.12 / $13.49	Professional		$6.76	$9.12	$13.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $45.71 / $141.25	Facility		$18.20	$45.71	$141.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $9.33 / $10.47	Professional		$3.47	$9.33	$10.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $30.90 / $63.10	Facility		$8.71	$30.90	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $15.85 / $20.42	Professional		$8.91	$15.85	$20.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $26.92 / $177.83	Professional		$14.79	$26.92	$177.83
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 $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $13.49 / $26.92	Facility		$10.00	$13.49	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $10.47 / $13.49	Professional		$5.75	$10.47	$13.49