Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $57.54 / $144.54	Facility		$23.44	$57.54	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $17.38 / $34.67	Professional		$14.13	$17.38	$34.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $11.48 / $23.44	Professional		$9.77	$11.48	$23.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $52.48 / $199.53	Facility		$26.30	$52.48	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $13.49 / $14.79	Professional		$3.47	$13.49	$14.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $43.65 / $89.13	Facility		$12.59	$43.65	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $22.39 / $29.51	Professional		$12.59	$22.39	$29.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $37.15 / $154.88	Professional		$19.50	$37.15	$154.88
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 $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
United Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $19.50 / $38.90	Facility		$14.45	$19.50	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $14.79 / $26.92	Professional		$8.13	$14.79	$26.92