Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $70.79 / $162.18	Facility		$37.15	$70.79	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.90 / $56.23	Professional		$22.91	$30.90	$56.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $17.38 / $17.38	Professional		$14.79	$17.38	$17.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $93.33 / $363.08	Facility		$47.86	$93.33	$363.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $23.99 / $26.92	Professional		$3.47	$23.99	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $79.43 / $162.18	Facility		$22.91	$79.43	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $43.65 / $72.44	Professional		$17.78	$43.65	$72.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $60.26 / $123.03	Professional		$36.31	$60.26	$123.03
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 $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $70.79	Facility		$35.48	$35.48	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $25.12 / $41.69	Professional		$14.79	$25.12	$41.69