Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $151.36 / $331.13	Facility		$67.61	$151.36	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $56.23 / $109.65	Professional		$50.12	$56.23	$109.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $30.90 / $74.13	Professional		$28.18	$30.90	$74.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $165.96 / $645.65	Facility		$83.18	$165.96	$645.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $42.66 / $47.86	Professional		$3.47	$42.66	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $141.25 / $288.40	Facility		$40.74	$141.25	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $72.44 / $95.50	Professional		$40.74	$72.44	$95.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $120.23 / $380.19	Professional		$64.57	$120.23	$380.19
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 $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $61.66 / $123.03	Facility		$37.15	$61.66	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $44.67 / $61.66	Professional		$26.30	$44.67	$61.66