Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $204.17 / $512.86	Facility		$74.13	$204.17	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $66.07 / $128.82	Professional		$32.36	$66.07	$128.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $123.03 / $891.25	Facility		$64.57	$123.03	$891.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $60.26 / $79.43	Professional		$3.47	$60.26	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $158.49 / $363.08	Facility		$51.29	$158.49	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $77.62 / $114.82	Professional		$20.42	$77.62	$114.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $107.15 / $199.53	Professional		$54.95	$107.15	$199.53
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 $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $79.43 / $158.49	Facility		$28.18	$79.43	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $33.11 / $66.07	Professional		$17.38	$33.11	$66.07