Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $63.10 / $213.80	Facility		$23.99	$63.10	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $37.15	Professional		$15.14	$19.05	$37.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $21.38 / $21.38	Professional		$12.88	$21.38	$21.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $70.79 / $218.78	Facility		$28.84	$70.79	$218.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $14.79 / $16.22	Professional		$3.47	$14.79	$16.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $47.86 / $97.72	Facility		$13.80	$47.86	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $24.55 / $32.36	Professional		$13.80	$24.55	$32.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $42.66 / $239.88	Professional		$23.44	$42.66	$239.88
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 $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $21.38 / $42.66	Facility		$13.80	$21.38	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $15.14 / $21.38	Professional		$8.91	$15.14	$21.38