Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $19.95 / $102.33	Facility		$2.95	$19.95	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.74 / $4.47	Professional		$1.00	$1.74	$4.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $1.74	Professional		$1.74	$1.74	$1.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $12.30 / $34.67	Facility		$4.79	$12.30	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $1.74 / $1.74	Facility		$1.74	$1.74	$1.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $1.74	Professional		$1.74	$1.74	$1.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $4.90 / $27.54	Professional		$1.82	$4.90	$27.54
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 $2.34 / $2.34 / $2.34	Professional		$2.34	$2.34	$2.34
United Facility/Professional Facility Modifier Low / Median / High Price $1.82 / $3.02 / $3.02	Facility		$1.82	$3.02	$3.02
United Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $1.95	Professional		$1.74	$1.74	$1.95