Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $229.09 / $389.05	Facility		$87.10	$229.09	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $114.82 / $269.15	Professional		$93.33	$114.82	$269.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $85.11 / $120.23	Professional		$60.26	$85.11	$120.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $229.09 / $1,479.11	Facility		$151.36	$229.09	$1,479.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $97.72 / $109.65	Professional		$3.47	$97.72	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $302.00 / $660.69	Facility		$93.33	$302.00	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $169.82 / $239.88	Professional		$66.07	$169.82	$239.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $251.19 / $478.63	Professional		$151.36	$251.19	$478.63
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 $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $288.40	Facility		$141.25	$141.25	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $85.11 / $147.91	Professional		$60.26	$85.11	$147.91