Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $30.90 / $85.11	Facility		$15.49	$30.90	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.18 / $22.91	Professional		$10.00	$13.18	$22.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Professional		$9.12	$9.12	$9.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $41.69 / $158.49	Facility		$20.42	$41.69	$158.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $10.47 / $11.75	Professional		$3.47	$10.47	$11.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $34.67 / $69.18	Facility		$10.00	$34.67	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $17.38 / $23.44	Professional		$10.00	$17.38	$23.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $30.20 / $173.78	Professional		$16.60	$30.20	$173.78
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 $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $15.14 / $30.20	Facility		$10.00	$15.14	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $10.96 / $15.14	Professional		$6.46	$10.96	$15.14