Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $36.31	Facility		$19.05	$19.05	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $20.89 / $36.31	Professional		$12.88	$20.89	$36.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $79.43 / $309.03	Facility		$42.66	$79.43	$309.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.30 / $26.30	Professional		$20.89	$26.30	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $21.38 / $39.81	Facility		$12.59	$21.38	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $38.90	Professional		$18.20	$18.20	$38.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $44.67 / $57.54	Professional		$30.20	$44.67	$57.54
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 $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $16.22 / $36.31	Facility		$10.23	$16.22	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $17.78 / $26.30	Professional		$11.75	$17.78	$26.30