Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $177.83 / $676.08	Facility		$63.10	$177.83	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $57.54 / $75.86	Professional		$43.65	$57.54	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $30.90 / $61.66	Professional		$26.30	$30.90	$61.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $251.19 / $776.25	Facility		$79.43	$251.19	$776.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $42.66 / $47.86	Professional		$3.47	$42.66	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $134.90 / $288.40	Facility		$40.74	$134.90	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $72.44 / $95.50	Professional		$34.67	$72.44	$95.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $114.82 / $309.03	Professional		$67.61	$114.82	$309.03
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 $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $61.66 / $123.03	Facility		$39.81	$61.66	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $43.65 / $61.66	Professional		$26.30	$43.65	$61.66