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 $3.47 / $10.96 / $11.48	Professional		$3.47	$10.96	$11.48
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 / $24.55 / $30.90	Professional		$12.88	$24.55	$30.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $100.00 / $199.53	Professional		$74.13	$100.00	$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 / $35.48	Facility		$12.02	$19.05	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $16.22 / $31.62	Professional		$10.47	$16.22	$31.62