Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $50.12 / $131.83	Facility		$26.92	$50.12	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $21.88 / $54.95	Professional		$19.05	$21.88	$54.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $66.07 / $269.15	Facility		$36.31	$66.07	$269.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $18.20 / $20.42	Professional		$3.47	$18.20	$20.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $57.54 / $123.03	Facility		$17.38	$57.54	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $30.90 / $40.74	Professional		$16.22	$30.90	$40.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $47.86 / $151.36	Professional		$29.51	$47.86	$151.36
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 $34.67 / $34.67 / $34.67	Professional		$34.67	$34.67	$34.67
United Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $26.92 / $53.70	Facility		$16.98	$26.92	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $17.38 / $26.92	Professional		$11.22	$17.38	$26.92