Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $38.02 / $104.71	Facility		$19.50	$38.02	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $38.02	Professional		$14.13	$16.98	$38.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $13.18	Professional		$11.75	$11.75	$13.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $50.12 / $194.98	Facility		$25.70	$50.12	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $13.18 / $14.45	Professional		$3.47	$13.18	$14.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $42.66 / $87.10	Facility		$12.30	$42.66	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $21.88 / $28.84	Professional		$12.30	$21.88	$28.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $38.02 / $190.55	Professional		$20.89	$38.02	$190.55
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 $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $19.05 / $38.02	Facility		$12.30	$19.05	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $13.49 / $19.05	Professional		$7.94	$13.49	$19.05