Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $52.48	Facility		$25.70	$25.70	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $33.88 / $107.15	Professional		$19.50	$33.88	$107.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $37.15 / $45.71	Professional		$29.51	$37.15	$45.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $134.90 / $524.81	Facility		$54.95	$134.90	$524.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $47.86 / $47.86	Professional		$37.15	$47.86	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $52.48	Professional		$19.50	$19.50	$52.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $61.66 / $114.82	Professional		$40.74	$61.66	$114.82
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 $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $38.02 / $48.98	Facility		$23.99	$38.02	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $23.44 / $32.36	Professional		$15.85	$23.44	$32.36