Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $33.11 / $109.65	Facility		$13.49	$33.11	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $9.77 / $34.67	Professional		$7.94	$9.77	$34.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $12.59	Professional		$6.76	$6.76	$12.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $35.48 / $114.82	Facility		$15.14	$35.48	$114.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $7.76 / $8.51	Professional		$3.47	$7.76	$8.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $25.12 / $52.48	Facility		$7.24	$25.12	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $13.49 / $16.98	Professional		$7.24	$13.49	$16.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $22.39 / $128.82	Professional		$12.30	$22.39	$128.82
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 $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
United Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $11.22 / $22.39	Facility		$7.41	$11.22	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $7.94 / $11.22	Professional		$4.68	$7.94	$11.22