Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $120.23 / $338.84	Facility		$30.20	$120.23	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.12 / $50.12	Professional		$19.05	$25.12	$50.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $16.22 / $19.05	Professional		$7.08	$16.22	$19.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $112.20 / $338.84	Facility		$34.67	$112.20	$338.84
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 / $60.26 / $125.89	Facility		$17.78	$60.26	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $31.62 / $41.69	Professional		$17.38	$31.62	$41.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $69.18 / $199.53	Professional		$28.84	$69.18	$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 $16.22 / $26.92 / $54.95	Facility		$16.22	$26.92	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $16.22 / $26.92	Professional		$11.48	$16.22	$26.92