Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $144.54 / $645.65	Facility		$74.13	$144.54	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $58.88 / $83.18	Professional		$47.86	$58.88	$83.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $43.65 / $43.65	Professional		$32.36	$43.65	$43.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $117.49 / $933.25	Facility		$87.10	$117.49	$933.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $50.12 / $54.95	Professional		$3.47	$50.12	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $151.36 / $331.13	Facility		$46.77	$151.36	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $79.43 / $109.65	Professional		$37.15	$79.43	$109.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $134.90 / $363.08	Professional		$79.43	$134.90	$363.08
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 $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $72.44 / $144.54	Facility		$43.65	$72.44	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $43.65 / $72.44	Professional		$30.20	$43.65	$72.44