Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $97.72 / $512.86	Facility		$43.65	$97.72	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $39.81 / $91.20	Professional		$32.36	$39.81	$91.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
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 / $91.20	Professional		$22.39	$57.54	$91.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $83.18 / $239.88	Professional		$46.77	$83.18	$239.88
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