Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $54.95 / $95.50	Facility		$31.62	$54.95	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $53.70 / $85.11	Professional		$30.20	$53.70	$85.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $15.14 / $37.15	Professional		$11.22	$15.14	$37.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $40.74 / $281.84	Facility		$19.95	$40.74	$281.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $20.89 / $22.91	Professional		$3.47	$20.89	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $60.26 / $138.04	Facility		$19.50	$60.26	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $33.11 / $43.65	Professional		$8.51	$33.11	$43.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $45.71 / $104.71	Professional		$23.99	$45.71	$104.71
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 $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $30.20 / $60.26	Facility		$14.79	$30.20	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $12.59 / $25.12	Professional		$7.59	$12.59	$25.12