Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $42.66 / $213.80	Facility		$22.91	$42.66	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.18 / $45.71	Professional		$19.05	$28.18	$45.71
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 $47.86 / $117.49 / $457.09	Facility		$47.86	$117.49	$457.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $41.69 / $41.69	Professional		$32.36	$41.69	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $45.71	Professional		$16.98	$16.98	$45.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $58.88 / $107.15	Professional		$35.48	$58.88	$107.15
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 $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $33.88 / $42.66	Facility		$21.38	$33.88	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $20.89 / $29.51	Professional		$13.80	$20.89	$29.51