Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $30.20 / $33.88	Professional		$18.20	$30.20	$33.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $28.84	Professional		$27.54	$27.54	$28.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $91.20 / $323.59	Facility		$45.71	$91.20	$323.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.11 / $33.11	Professional		$26.30	$33.11	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Professional		$18.62	$18.62	$18.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $56.23 / $97.72	Professional		$33.11	$56.23	$97.72
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 $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $51.29	Facility		$26.30	$26.30	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $37.15 / $61.66	Professional		$17.78	$37.15	$61.66