Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $87.10 / $309.03	Facility		$51.29	$87.10	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.90 / $89.13	Professional		$32.36	$38.90	$89.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $57.54	Professional		$21.38	$21.38	$57.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $114.82 / $446.68	Facility		$57.54	$114.82	$446.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $29.51 / $33.11	Professional		$3.47	$29.51	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $97.72 / $194.98	Facility		$27.54	$97.72	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $57.54 / $89.13	Professional		$22.39	$57.54	$89.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $83.18 / $501.19	Professional		$46.77	$83.18	$501.19
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 $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $85.11	Facility		$42.66	$42.66	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $30.90 / $50.12	Professional		$17.78	$30.90	$50.12