Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $41.69 / $128.82	Facility		$23.99	$41.69	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $20.89 / $52.48	Professional		$15.49	$20.89	$52.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $16.22	Professional		$14.13	$14.13	$16.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $61.66 / $245.47	Facility		$31.62	$61.66	$245.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $16.22 / $18.20	Professional		$3.47	$16.22	$18.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $52.48 / $109.65	Facility		$15.49	$52.48	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $27.54 / $36.31	Professional		$15.14	$27.54	$36.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $45.71 / $154.88	Professional		$25.70	$45.71	$154.88
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 $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $23.44 / $46.77	Facility		$15.49	$23.44	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $16.98 / $23.44	Professional		$10.00	$16.98	$23.44