Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $229.09	Facility		$15.14	$15.14	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $30.20	Professional		$12.02	$14.13	$30.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $173.78 / $489.78	Facility		$40.74	$173.78	$489.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.39 / $22.39	Professional		$19.05	$22.39	$22.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $22.39 / $22.39	Facility		$17.78	$22.39	$22.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $35.48	Professional		$16.22	$16.22	$35.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.90 / $50.12	Professional		$28.84	$38.90	$50.12
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 $13.80 / $23.44 / $58.88	Facility		$13.80	$23.44	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $14.13 / $25.12	Professional		$11.22	$14.13	$25.12