Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $60.26 / $309.03	Facility		$29.51	$60.26	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.30 / $44.67	Professional		$21.88	$26.30	$44.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $77.62 / $309.03	Facility		$39.81	$77.62	$309.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $20.42 / $22.91	Professional		$3.47	$20.42	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $66.07 / $134.90	Facility		$19.05	$66.07	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $33.88 / $45.71	Professional		$19.50	$33.88	$45.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $57.54 / $257.04	Professional		$32.36	$57.54	$257.04
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 $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $29.51 / $58.88	Facility		$21.88	$29.51	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $22.91 / $35.48	Professional		$12.30	$22.91	$35.48