Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $31.62 / $91.20	Facility		$12.30	$31.62	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.72 / $15.14	Professional		$8.91	$10.72	$15.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $8.32	Professional		$6.03	$6.03	$8.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $32.36 / $123.03	Facility		$16.22	$32.36	$123.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $8.32 / $9.12	Professional		$3.47	$8.32	$9.12
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 $7.76 / $13.80 / $18.20	Professional		$7.76	$13.80	$18.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $23.44 / $151.36	Professional		$13.18	$23.44	$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 $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49
United Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $12.02 / $23.99	Facility		$8.91	$12.02	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $9.12 / $14.45	Professional		$5.01	$9.12	$14.45