Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $85.11 / $489.78	Facility		$32.36	$85.11	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $25.12 / $38.90	Professional		$19.50	$25.12	$38.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $16.98 / $33.88	Professional		$12.59	$16.98	$33.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $75.86 / $288.40	Facility		$38.02	$75.86	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $19.50 / $21.88	Professional		$3.47	$19.50	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $63.10 / $128.82	Facility		$18.20	$63.10	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $32.36 / $42.66	Professional		$18.20	$32.36	$42.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $54.95 / $281.84	Professional		$30.90	$54.95	$281.84
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 $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $28.18 / $56.23	Facility		$18.20	$28.18	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $19.05 / $28.18	Professional		$11.75	$19.05	$28.18