Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $95.50 / $295.12	Facility		$40.74	$95.50	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $42.66 / $66.07	Professional		$34.67	$42.66	$66.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.18 / $63.10	Professional		$19.95	$28.18	$63.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $147.91 / $489.78	Facility		$63.10	$147.91	$489.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $32.36 / $36.31	Professional		$3.47	$32.36	$36.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $107.15 / $213.80	Facility		$30.20	$107.15	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $54.95 / $72.44	Professional		$30.90	$54.95	$72.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $91.20 / $316.23	Professional		$47.86	$91.20	$316.23
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 $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $46.77 / $93.33	Facility		$31.62	$46.77	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $31.62 / $46.77	Professional		$19.95	$31.62	$46.77