Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $33.11 / $169.82	Facility		$2.19	$33.11	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.29 / $50.12	Professional		$2.00	$2.29	$50.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Professional		$2.04	$2.04	$2.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $12.88 / $28.18	Facility		$6.92	$12.88	$28.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $2.19 / $2.19	Facility		$2.19	$2.19	$2.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.19 / $2.19	Professional		$2.19	$2.19	$2.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $9.12 / $100.00	Professional		$2.04	$9.12	$100.00
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 $2.63 / $2.63 / $2.63	Professional		$2.63	$2.63	$2.63
United Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $3.24 / $3.24	Facility		$2.19	$3.24	$3.24
United Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.19 / $2.40	Professional		$2.19	$2.19	$2.40