Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $26.92 / $67.61	Facility		$13.49	$26.92	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $25.70	Professional		$10.00	$12.02	$25.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $7.94	Professional		$6.76	$6.76	$7.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $42.66 / $138.04	Facility		$18.20	$42.66	$138.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $9.33 / $10.23	Professional		$3.47	$9.33	$10.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $30.20 / $61.66	Facility		$8.71	$30.20	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $15.49 / $20.42	Professional		$8.71	$15.49	$20.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $26.92 / $177.83	Professional		$14.79	$26.92	$177.83
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 $17.38 / $17.38 / $17.38	Professional		$17.38	$17.38	$17.38
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $13.49 / $26.92	Facility		$10.00	$13.49	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $10.23 / $13.49	Professional		$5.62	$10.23	$13.49