Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $48.98 / $173.78	Facility		$27.54	$48.98	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $21.88 / $48.98	Professional		$15.85	$21.88	$48.98
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 $32.36 / $50.12 / $251.19	Facility		$32.36	$50.12	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $18.62 / $20.42	Professional		$3.47	$18.62	$20.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $53.70 / $123.03	Facility		$17.38	$53.70	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $30.90 / $40.74	Professional		$12.59	$30.90	$40.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $46.77 / $199.53	Professional		$29.51	$46.77	$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 $34.67 / $34.67 / $34.67	Professional		$34.67	$34.67	$34.67
United Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $26.92 / $53.70	Facility		$15.85	$26.92	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $14.79 / $25.12	Professional		$11.22	$14.79	$25.12