Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $371.54 / $537.03	Facility		$44.67	$371.54	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $52.48 / $645.65	Professional		$33.11	$52.48	$645.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $323.59 / $354.81	Professional		$275.42	$323.59	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $309.03 / $501.19	Professional		$223.87	$309.03	$501.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $323.59 / $501.19	Professional		$169.82	$323.59	$501.19
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 $229.09 / $269.15 / $269.15	Professional		$229.09	$269.15	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.95 / $77.62	Professional		$39.81	$54.95	$77.62