Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $47.86 / $213.80	Facility		$15.85	$47.86	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $25.70	Professional		$8.91	$10.96	$25.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $7.24 / $14.45	Professional		$5.37	$7.24	$14.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $32.36 / $125.89	Facility		$16.22	$32.36	$125.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $8.32 / $9.33	Professional		$3.47	$8.32	$9.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $26.92 / $54.95	Facility		$7.76	$26.92	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $13.80 / $18.62	Professional		$7.94	$13.80	$18.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $23.99 / $151.36	Professional		$13.18	$23.99	$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 $15.85 / $15.85 / $15.85	Professional		$15.85	$15.85	$15.85
United Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $12.02 / $23.99	Facility		$7.76	$12.02	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $8.71 / $12.02	Professional		$5.01	$8.71	$12.02