Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $100.00 / $1,318.26	Facility		$33.11	$100.00	$1,318.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $45.71 / $83.18	Professional		$19.05	$45.71	$83.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $33.88	Professional		$15.14	$15.14	$33.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $69.18 / $263.03	Facility		$33.88	$69.18	$263.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $17.38 / $19.50	Professional		$3.47	$17.38	$19.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $57.54 / $117.49	Facility		$16.60	$57.54	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $29.51 / $38.90	Professional		$16.60	$29.51	$38.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $51.29 / $199.53	Professional		$28.18	$51.29	$199.53
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 $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $25.70 / $51.29	Facility		$18.62	$25.70	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $19.50 / $31.62	Professional		$10.72	$19.50	$31.62