Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $69.18 / $162.18	Facility		$28.18	$69.18	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.50 / $52.48	Professional		$15.85	$19.50	$52.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $11.48 / $21.88	Professional		$9.33	$11.48	$21.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $57.54 / $223.87	Facility		$29.51	$57.54	$223.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $15.14 / $16.60	Professional		$3.47	$15.14	$16.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $48.98 / $100.00	Facility		$14.13	$48.98	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $25.12 / $33.11	Professional		$14.13	$25.12	$33.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $42.66 / $213.80	Professional		$23.99	$42.66	$213.80
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 $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $21.88 / $43.65	Facility		$14.13	$21.88	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $15.49 / $21.88	Professional		$9.12	$15.49	$21.88