Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $75.86 / $575.44	Facility		$5.37	$75.86	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $26.30 / $144.54	Professional		$5.01	$26.30	$144.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.13 / $5.13	Professional		$5.13	$5.13	$5.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $245.47 / $630.96	Facility		$30.20	$245.47	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $5.13 / $5.13	Facility		$5.13	$5.13	$5.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.13 / $5.13	Professional		$5.13	$5.13	$5.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $50.12 / $288.40	Professional		$5.01	$50.12	$288.40
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 $6.61 / $6.61 / $6.61	Professional		$6.61	$6.61	$6.61
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $15.85 / $15.85	Facility		$9.12	$15.85	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $6.76 / $57.54	Professional		$5.13	$6.76	$57.54