Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $27.54 / $120.23	Facility		$14.13	$27.54	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $32.36	Professional		$10.00	$12.02	$32.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $5.89 / $6.92	Professional		$5.89	$5.89	$6.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $32.36 / $131.83	Facility		$18.20	$32.36	$131.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $9.55 / $13.80	Professional		$3.47	$9.55	$13.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $29.51 / $64.57	Facility		$9.12	$29.51	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $16.22 / $21.38	Professional		$8.51	$16.22	$21.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $24.55 / $61.66	Professional		$15.14	$24.55	$61.66
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 $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $13.80 / $27.54	Facility		$9.12	$13.80	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $9.12 / $14.13	Professional		$5.89	$9.12	$14.13