Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $25.12 / $79.43	Facility		$12.88	$25.12	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.59 / $41.69	Professional		$8.91	$12.59	$41.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $8.32 / $17.78	Professional		$5.01	$8.32	$17.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $50.12 / $162.18	Facility		$16.98	$50.12	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $8.71 / $12.59	Professional		$3.47	$8.71	$12.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $26.92 / $57.54	Facility		$8.13	$26.92	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $14.45 / $19.05	Professional		$10.23	$14.45	$19.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $25.70 / $125.89	Professional		$13.80	$25.70	$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
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22
United Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $12.59 / $25.12	Facility		$7.59	$12.59	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $8.32 / $12.59	Professional		$5.25	$8.32	$12.59