Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $32.36 / $56.23	Facility		$18.20	$32.36	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.22 / $29.51	Professional		$12.88	$16.22	$29.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Professional		$9.12	$9.12	$9.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $46.77 / $190.55	Facility		$24.55	$46.77	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $12.59 / $14.13	Professional		$3.47	$12.59	$14.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $41.69 / $85.11	Facility		$12.02	$41.69	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $21.38 / $28.18	Professional		$12.02	$21.38	$28.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $36.31 / $151.36	Professional		$20.42	$36.31	$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 $23.99 / $23.99 / $23.99	Professional		$23.99	$23.99	$23.99
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $18.20 / $37.15	Facility		$13.49	$18.20	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $14.13 / $25.70	Professional		$7.76	$14.13	$25.70