Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $32.36 / $58.88	Facility		$19.50	$32.36	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $33.88	Professional		$14.13	$16.98	$33.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Professional		$9.77	$9.77	$9.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $52.48 / $204.17	Facility		$26.30	$52.48	$204.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $13.49 / $15.14	Professional		$3.47	$13.49	$15.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $43.65 / $89.13	Facility		$12.59	$43.65	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $22.39 / $30.20	Professional		$12.88	$22.39	$30.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $33.88 / $151.36	Professional		$17.78	$33.88	$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 $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
United Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $19.50 / $38.90	Facility		$14.45	$19.50	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $15.14 / $27.54	Professional		$8.13	$15.14	$27.54