Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $77.62 / $204.17	Facility		$30.20	$77.62	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.88 / $52.48	Professional		$25.70	$33.88	$52.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $22.91 / $51.29	Professional		$19.95	$22.91	$51.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $100.00 / $389.05	Facility		$51.29	$100.00	$389.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $26.30 / $28.84	Professional		$3.47	$26.30	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $85.11 / $173.78	Facility		$24.55	$85.11	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $43.65 / $57.54	Professional		$24.55	$43.65	$57.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $97.72 / $257.04	Professional		$39.81	$97.72	$257.04
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 $48.98 / $48.98 / $48.98	Professional		$48.98	$48.98	$48.98
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $38.02 / $75.86	Facility		$24.55	$38.02	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $23.99 / $38.02	Professional		$15.85	$23.99	$38.02