Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $25.70 / $25.70	Facility		$21.88	$25.70	$25.70
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 $2.95 / $8.32 / $11.48	Professional		$2.95	$8.32	$11.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $41.69 / $81.28	Facility		$28.18	$41.69	$81.28
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 $12.88 / $22.39 / $28.18	Professional		$12.88	$22.39	$28.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $97.72 / $199.53	Professional		$67.61	$97.72	$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 $12.02 / $19.05 / $24.55	Facility		$12.02	$19.05	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $13.18 / $21.88	Professional		$10.23	$13.18	$21.88