Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $89.13 / $512.86	Facility		$3.80	$89.13	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $6.46 / $181.97	Professional		$3.02	$6.46	$181.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.24 / $5.01	Professional		$3.24	$3.24	$5.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $19.05 / $56.23	Facility		$8.13	$19.05	$56.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $6.76	Professional		$6.76	$6.76	$6.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $3.80 / $3.80	Facility		$3.80	$3.80	$3.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $3.80	Professional		$3.80	$3.80	$3.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $10.96 / $57.54	Professional		$3.24	$10.96	$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 $4.17 / $4.17 / $4.17	Professional		$4.17	$4.17	$4.17
United Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $5.75 / $5.75	Facility		$3.80	$5.75	$5.75
United Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $4.90	Professional		$3.80	$3.80	$4.90