Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $38.02 / $208.93	Facility		$18.20	$38.02	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $15.14 / $33.11	Professional		$11.75	$15.14	$33.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $16.60 / $16.60	Professional		$7.08	$16.60	$16.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $43.65 / $173.78	Facility		$22.39	$43.65	$173.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $11.48 / $12.88	Professional		$3.47	$11.48	$12.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $37.15 / $77.62	Facility		$10.96	$37.15	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $19.50 / $25.12	Professional		$10.96	$19.50	$25.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $33.11 / $154.88	Professional		$18.20	$33.11	$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 $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
United Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $16.60 / $33.11	Facility		$10.96	$16.60	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $12.02 / $16.60	Professional		$7.08	$12.02	$16.60