Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $25.12 / $43.65	Facility		$14.45	$25.12	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $29.51	Professional		$10.00	$12.88	$29.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $7.08	Professional		$7.08	$7.08	$7.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $58.88 / $177.83	Facility		$18.20	$58.88	$177.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $9.77 / $10.96	Professional		$3.47	$9.77	$10.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $32.36 / $66.07	Facility		$9.33	$32.36	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $16.60 / $21.88	Professional		$9.33	$16.60	$21.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $27.54 / $151.36	Professional		$14.45	$27.54	$151.36
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 $18.62 / $18.62 / $18.62	Professional		$18.62	$18.62	$18.62
United Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $14.45 / $28.84	Facility		$10.47	$14.45	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $10.96 / $15.85	Professional		$6.03	$10.96	$15.85