Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $33.11 / $50.12	Facility		$13.80	$33.11	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $25.70	Professional		$10.96	$15.14	$25.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $8.51	Professional		$8.51	$8.51	$8.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $45.71 / $173.78	Facility		$22.91	$45.71	$173.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $11.75 / $12.88	Professional		$3.47	$11.75	$12.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $38.02 / $77.62	Facility		$10.96	$38.02	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $19.50 / $25.70	Professional		$10.96	$19.50	$25.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $29.51 / $63.10	Professional		$17.78	$29.51	$63.10
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 $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $16.98 / $33.88	Facility		$12.59	$16.98	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $12.88 / $20.89	Professional		$7.08	$12.88	$20.89