Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $56.23 / $83.18	Facility		$26.92	$56.23	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.12 / $39.81	Professional		$20.89	$25.12	$39.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $16.98 / $19.50	Professional		$9.77	$16.98	$19.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $40.74 / $288.40	Facility		$24.55	$40.74	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $19.05 / $27.54	Professional		$3.47	$19.05	$27.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $63.10 / $128.82	Facility		$18.20	$63.10	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $32.36 / $42.66	Professional		$18.20	$32.36	$42.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $53.70 / $218.78	Professional		$27.54	$53.70	$218.78
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 $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $27.54 / $56.23	Facility		$20.42	$27.54	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $16.60 / $27.54	Professional		$9.77	$16.60	$27.54