Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $35.48 / $66.07	Facility		$19.95	$35.48	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $38.90	Professional		$14.13	$18.20	$38.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Professional		$13.80	$13.80	$13.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $54.95 / $275.42	Facility		$26.92	$54.95	$275.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $15.49 / $19.95	Professional		$3.47	$15.49	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $45.71 / $93.33	Facility		$12.88	$45.71	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $26.92 / $40.74	Professional		$10.23	$26.92	$40.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $38.90 / $147.91	Professional		$21.88	$38.90	$147.91
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 $26.30 / $26.30 / $26.30	Professional		$26.30	$26.30	$26.30
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $39.81	Facility		$19.95	$19.95	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $14.45 / $23.44	Professional		$8.51	$14.45	$23.44