Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $741.31 / $1,096.48	Facility		$263.03	$741.31	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $537.03	Professional		$416.87	$416.87	$537.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $398.11 / $416.87	Professional		$3.47	$398.11	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $776.25 / $1,905.46	Facility		$269.15	$776.25	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $501.19 / $602.56	Professional		$416.87	$501.19	$602.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $562.34 / $776.25	Professional		$331.13	$562.34	$776.25
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 $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $831.76	Facility		$416.87	$416.87	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $239.88 / $416.87	Professional		$181.97	$239.88	$416.87