Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $30.20 / $89.13	Facility		$8.71	$30.20	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $17.38 / $30.20	Professional		$16.98	$17.38	$30.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $18.20 / $18.20	Professional		$5.01	$18.20	$18.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $154.88 / $389.05	Facility		$63.10	$154.88	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Facility		$17.38	$17.38	$17.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Professional		$17.38	$17.38	$17.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $61.66 / $120.23	Professional		$18.20	$61.66	$120.23
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 $23.44 / $23.44 / $23.44	Professional		$23.44	$23.44	$23.44
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $26.92 / $26.92	Facility		$17.38	$26.92	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $19.05	Professional		$17.38	$17.38	$19.05