Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $1,778.28 / $5,248.07	Facility		$30.20	$1,778.28	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $1,380.38 / $4,786.30	Professional		$28.84	$1,380.38	$4,786.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $104.71 / $309.03	Facility		$44.67	$104.71	$309.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $33.11 / $33.11	Professional		$29.51	$33.11	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Facility		$29.51	$29.51	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $35.48 / $79.43	Professional		$25.12	$35.48	$79.43
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 $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $45.71	Facility		$29.51	$29.51	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $30.90 / $33.11	Professional		$29.51	$30.90	$33.11