Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $58.88 / $186.21	Facility		$19.50	$58.88	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $31.62	Professional		$12.02	$15.14	$31.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.23	Professional		$10.00	$10.00	$10.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $45.71 / $173.78	Facility		$22.91	$45.71	$173.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $11.75 / $12.88	Professional		$3.47	$11.75	$12.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $38.02 / $77.62	Facility		$10.96	$38.02	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $19.50 / $25.70	Professional		$10.96	$19.50	$25.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $33.88 / $177.83	Professional		$18.62	$33.88	$177.83
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 $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
United Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $16.98 / $33.88	Facility		$10.96	$16.98	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $12.02 / $16.98	Professional		$7.08	$12.02	$16.98