Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $21.88 / $38.90	Facility		$12.59	$21.88	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $21.88	Professional		$8.91	$10.96	$21.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Professional		$12.59	$12.59	$12.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $37.15 / $169.82	Facility		$17.38	$37.15	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $9.77 / $12.59	Professional		$3.47	$9.77	$12.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $27.54 / $57.54	Facility		$8.32	$27.54	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $14.45 / $19.50	Professional		$7.76	$14.45	$19.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $25.70 / $60.26	Professional		$14.13	$25.70	$60.26
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 $16.60 / $16.60 / $16.60	Professional		$16.60	$16.60	$16.60
United Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $12.59 / $25.70	Facility		$8.91	$12.59	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $9.12 / $16.60	Professional		$5.37	$9.12	$16.60