Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $74.13 / $588.84	Facility		$30.20	$74.13	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.05 / $58.88	Professional		$16.98	$19.05	$58.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.13 / $35.48	Professional		$12.30	$14.13	$35.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $53.70 / $218.78	Facility		$30.20	$53.70	$218.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $16.22 / $18.20	Professional		$3.47	$16.22	$18.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $48.98 / $109.65	Facility		$15.49	$48.98	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $27.54 / $36.31	Professional		$12.88	$27.54	$36.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $38.90 / $234.42	Professional		$24.55	$38.90	$234.42
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 $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $23.44 / $46.77	Facility		$14.13	$23.44	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.79 / $23.44	Professional		$10.00	$14.79	$23.44