Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $19.50	Facility		$10.00	$10.00	$19.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.02 / $19.50	Professional		$7.94	$12.02	$19.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $41.69 / $165.96	Facility		$21.88	$41.69	$165.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $14.45 / $14.45	Professional		$11.48	$14.45	$14.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $13.49 / $25.12	Facility		$9.55	$13.49	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $24.55	Professional		$11.48	$11.48	$24.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $25.12 / $38.90	Professional		$17.38	$25.12	$38.90
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 $25.12 / $25.12 / $28.84	Professional		$25.12	$25.12	$28.84
United Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $10.23 / $19.50	Facility		$6.46	$10.23	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $9.55 / $15.85	Professional		$7.41	$9.55	$15.85