Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $40.74	Facility		$19.95	$19.95	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.95 / $34.67	Professional		$15.14	$19.95	$34.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $38.02	Professional		$29.51	$29.51	$38.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $89.13 / $269.15	Facility		$54.95	$89.13	$269.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $22.39 / $22.39	Facility		$19.05	$22.39	$22.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $27.54	Professional		$16.22	$16.22	$27.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $52.48 / $66.07	Professional		$39.81	$52.48	$66.07
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 $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $31.62 / $75.86	Facility		$25.70	$31.62	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.50 / $32.36	Professional		$16.22	$19.50	$32.36