Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $58.88 / $194.98	Facility		$25.12	$58.88	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $44.67	Professional		$15.85	$19.05	$44.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.18 / $33.11	Professional		$10.96	$13.18	$33.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $58.88 / $229.09	Facility		$29.51	$58.88	$229.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $15.14 / $16.98	Professional		$3.47	$15.14	$16.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $50.12 / $102.33	Facility		$14.45	$50.12	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $25.70 / $33.88	Professional		$14.45	$25.70	$33.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $43.65 / $194.98	Professional		$23.99	$43.65	$194.98
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 $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
United Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $21.88 / $43.65	Facility		$16.22	$21.88	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $16.98 / $23.99	Professional		$9.33	$16.98	$23.99