Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $50.12 / $97.72	Facility		$4.68	$50.12	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.69 / $12.88	Professional		$2.00	$2.69	$12.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $1.78 / $4.07	Professional		$1.51	$1.78	$4.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $23.44 / $53.70	Facility		$10.00	$23.44	$53.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.51 / $3.47	Professional		$2.04	$2.51	$3.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $6.61 / $13.49	Facility		$1.95	$6.61	$13.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $3.39 / $4.68	Professional		$1.95	$3.39	$4.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $9.77 / $67.61	Professional		$3.31	$9.77	$67.61
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 $3.89 / $3.89 / $3.89	Professional		$3.89	$3.89	$3.89
United Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $32.36 / $89.13	Facility		$2.04	$32.36	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $2.29 / $4.17	Professional		$1.26	$2.29	$4.17