Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $154.88 / $316.23	Facility		$57.54	$154.88	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.90 / $144.54	Professional		$30.20	$38.90	$144.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $23.44 / $38.90	Professional		$15.85	$23.44	$38.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $79.43 / $501.19	Facility		$50.12	$79.43	$501.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $30.20 / $38.90	Professional		$3.47	$30.20	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $81.28 / $181.97	Facility		$25.70	$81.28	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $44.67 / $60.26	Professional		$22.39	$44.67	$60.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $100.00 / $239.88	Professional		$41.69	$100.00	$239.88
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 $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $38.90 / $77.62	Facility		$23.44	$38.90	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $22.91 / $38.90	Professional		$16.60	$22.91	$38.90