Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $30.20 / $295.12	Facility		$15.49	$30.20	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $26.92	Professional		$8.91	$12.02	$26.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $8.91	Professional		$8.91	$8.91	$8.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $30.20 / $138.04	Facility		$18.62	$30.20	$138.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $11.22 / $11.22	Professional		$3.47	$11.22	$11.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $29.51 / $67.61	Facility		$9.55	$29.51	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $16.98 / $22.39	Professional		$7.41	$16.98	$22.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $26.30 / $151.36	Professional		$16.22	$26.30	$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 $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
United Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $14.45 / $29.51	Facility		$8.91	$14.45	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $8.71 / $14.45	Professional		$6.17	$8.71	$14.45