Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $77.62 / $199.53	Facility		$21.88	$77.62	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $47.86 / $64.57	Facility		$30.90	$47.86	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.47 / $0.47 / $239.88	Facility		$0.47	$0.47	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $19.50 / $26.92	Professional		$12.59	$19.50	$26.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $87.10 / $199.53	Professional		$61.66	$87.10	$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
United Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $15.85 / $28.18	Facility		$8.91	$15.85	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $10.47 / $20.89	Professional		$8.13	$10.47	$20.89