Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $64.57 / $128.82	Facility		$33.88	$64.57	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.84 / $51.29	Professional		$22.91	$28.84	$51.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $85.11 / $346.74	Facility		$45.71	$85.11	$346.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $23.44 / $26.30	Professional		$3.47	$23.44	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $72.44 / $158.49	Facility		$22.39	$72.44	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $39.81 / $52.48	Professional		$22.39	$39.81	$52.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $67.61 / $177.83	Professional		$36.31	$67.61	$177.83
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 $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $33.88 / $67.61	Facility		$23.44	$33.88	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $23.99 / $33.88	Professional		$14.45	$23.99	$33.88