Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $87.10 / $269.15	Facility		$19.95	$87.10	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.30 / $39.81	Professional		$10.00	$12.30	$39.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $8.13 / $14.79	Professional		$5.75	$8.13	$14.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $42.66 / $141.25	Facility		$18.20	$42.66	$141.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $9.33 / $10.47	Professional		$3.47	$9.33	$10.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $30.90 / $63.10	Facility		$8.91	$30.90	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $15.85 / $20.89	Professional		$8.91	$15.85	$20.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $26.92 / $131.83	Professional		$15.14	$26.92	$131.83
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 $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
United Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $13.49 / $27.54	Facility		$8.32	$13.49	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $9.77 / $13.49	Professional		$5.75	$9.77	$13.49