Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $95.50 / $295.12	Facility		$38.90	$95.50	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $66.07 / $128.82	Professional		$30.20	$66.07	$128.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $54.95 / $75.86	Professional		$44.67	$54.95	$75.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $158.49 / $616.60	Facility		$83.18	$158.49	$616.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $53.70 / $53.70	Professional		$33.88	$53.70	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $79.43	Facility		$44.67	$44.67	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $77.62	Professional		$38.02	$38.02	$77.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $91.20 / $131.83	Professional		$60.26	$91.20	$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 $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $37.15 / $72.44	Facility		$21.38	$37.15	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $35.48 / $53.70	Professional		$24.55	$35.48	$53.70