Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $39.81 / $69.18	Facility		$22.91	$39.81	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.50 / $43.65	Professional		$15.85	$19.50	$43.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $11.48	Professional		$9.12	$9.12	$11.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $61.66 / $295.12	Facility		$30.90	$61.66	$295.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $17.38 / $22.91	Professional		$3.47	$17.38	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $47.86 / $104.71	Facility		$14.79	$47.86	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $27.54 / $41.69	Professional		$11.75	$27.54	$41.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $40.74 / $131.83	Professional		$25.12	$40.74	$131.83
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 $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
United Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $45.71	Facility		$22.91	$22.91	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $15.14 / $23.99	Professional		$9.55	$15.14	$23.99