Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $69.18 / $263.03	Facility		$19.05	$69.18	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.30 / $28.18	Professional		$10.23	$12.30	$28.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $7.24 / $18.62	Professional		$6.17	$7.24	$18.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $42.66 / $141.25	Facility		$18.62	$42.66	$141.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $9.55 / $10.47	Professional		$3.47	$9.55	$10.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $30.90 / $63.10	Facility		$8.91	$30.90	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $15.85 / $21.38	Professional		$8.91	$15.85	$21.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $27.54 / $173.78	Professional		$15.14	$27.54	$173.78
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 $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
United Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $13.80 / $27.54	Facility		$8.91	$13.80	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $9.77 / $13.80	Professional		$5.75	$9.77	$13.80