Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $50.12 / $134.90	Facility		$19.05	$50.12	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.49 / $44.67	Professional		$10.96	$13.49	$44.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $9.33	Professional		$9.33	$9.33	$9.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $40.74 / $154.88	Facility		$20.42	$40.74	$154.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $10.47 / $11.48	Professional		$3.47	$10.47	$11.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $33.88 / $69.18	Facility		$9.77	$33.88	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $17.38 / $22.91	Professional		$9.77	$17.38	$22.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $30.20 / $151.36	Professional		$16.60	$30.20	$151.36
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 $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $15.14 / $30.20	Facility		$9.77	$15.14	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $10.72 / $15.14	Professional		$6.31	$10.72	$15.14