Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $56.23 / $190.55	Facility		$28.84	$56.23	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $24.55 / $38.02	Professional		$19.95	$24.55	$38.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.22 / $32.36	Professional		$13.49	$16.22	$32.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $72.44 / $281.84	Facility		$36.31	$72.44	$281.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $18.62 / $20.89	Professional		$3.47	$18.62	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $61.66 / $125.89	Facility		$17.78	$61.66	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $31.62 / $41.69	Professional		$17.78	$31.62	$41.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $52.48 / $199.53	Professional		$30.20	$52.48	$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 $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $26.92 / $54.95	Facility		$19.95	$26.92	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $20.89 / $26.92	Professional		$11.48	$20.89	$26.92