Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $63.10 / $281.84	Facility		$31.62	$63.10	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.70 / $50.12	Professional		$19.95	$25.70	$50.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Professional		$18.62	$18.62	$18.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $107.15 / $389.05	Facility		$38.02	$107.15	$389.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $21.38 / $23.99	Professional		$3.47	$21.38	$23.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $63.10 / $141.25	Facility		$19.95	$63.10	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $35.48 / $46.77	Professional		$15.85	$35.48	$46.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $69.18 / $288.40	Professional		$32.36	$69.18	$288.40
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 $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $30.90 / $61.66	Facility		$17.78	$30.90	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.49 / $30.90	Professional		$10.96	$15.49	$30.90