Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $58.88 / $165.96	Facility		$23.99	$58.88	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.05 / $38.90	Professional		$15.49	$19.05	$38.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $12.59 / $28.18	Professional		$10.47	$12.59	$28.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $54.95 / $213.80	Facility		$28.18	$54.95	$213.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $14.45 / $15.85	Professional		$3.47	$14.45	$15.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $46.77 / $95.50	Facility		$13.49	$46.77	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $23.99 / $31.62	Professional		$13.49	$23.99	$31.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $41.69 / $190.55	Professional		$22.91	$41.69	$190.55
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 $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $20.89 / $41.69	Facility		$15.49	$20.89	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $15.85 / $20.89	Professional		$8.71	$15.85	$20.89