Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $33.11 / $112.20	Facility		$14.79	$33.11	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $12.30 / $25.12	Professional		$9.33	$12.30	$25.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $38.90 / $147.91	Facility		$19.50	$38.90	$147.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $10.00 / $10.96	Professional		$3.47	$10.00	$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 $15.85 / $28.84 / $151.36	Professional		$15.85	$28.84	$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 $9.33 / $14.45 / $28.84	Facility		$9.33	$14.45	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $10.23 / $14.45	Professional		$6.03	$10.23	$14.45