Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $57.54 / $199.53	Facility		$19.95	$57.54	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.18 / $51.29	Professional		$10.96	$13.18	$51.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $8.71 / $19.05	Professional		$7.24	$8.71	$19.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $45.71 / $147.91	Facility		$19.50	$45.71	$147.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $10.00 / $10.96	Professional		$3.47	$10.00	$10.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $32.36 / $66.07	Facility		$9.33	$32.36	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $16.60 / $21.88	Professional		$9.33	$16.60	$21.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $27.54 / $104.71	Professional		$15.85	$27.54	$104.71
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 $18.62 / $18.62 / $18.62	Professional		$18.62	$18.62	$18.62
United Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $14.45 / $28.84	Facility		$9.33	$14.45	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $10.23 / $14.45	Professional		$6.03	$10.23	$14.45