Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $72.44 / $144.54	Facility		$39.81	$72.44	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $41.69 / $125.89	Professional		$24.55	$41.69	$125.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $17.38 / $24.55	Professional		$14.79	$17.38	$24.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $95.50 / $478.63	Facility		$46.77	$95.50	$478.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $26.92 / $35.48	Professional		$3.47	$26.92	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $81.28 / $162.18	Facility		$22.91	$81.28	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $43.65 / $72.44	Professional		$21.88	$43.65	$72.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $67.61 / $177.83	Professional		$38.90	$67.61	$177.83
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 $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 $20.89 / $30.90 / $50.12	Professional		$20.89	$30.90	$50.12