Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $61.66 / $102.33	Facility		$5.01	$61.66	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $3.16 / $12.88	Professional		$2.04	$3.16	$12.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.91 / $3.89	Professional		$1.35	$1.91	$3.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $11.22 / $42.66	Facility		$4.27	$11.22	$42.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $3.24 / $3.47	Professional		$3.16	$3.24	$3.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $7.24 / $14.79	Facility		$2.04	$7.24	$14.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $3.72 / $4.79	Professional		$2.29	$3.72	$4.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $6.31 / $114.82	Professional		$3.47	$6.31	$114.82
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 $4.07 / $4.07 / $4.07	Professional		$4.07	$4.07	$4.07
United Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $3.16 / $6.31	Facility		$2.19	$3.16	$6.31
United Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $2.75 / $4.47	Professional		$1.91	$2.75	$4.47