Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $141.25 / $338.84	Facility		$67.61	$141.25	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $61.66 / $169.82	Professional		$52.48	$61.66	$169.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $40.74 / $91.20	Professional		$30.20	$40.74	$91.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $181.97 / $691.83	Facility		$91.20	$181.97	$691.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $46.77 / $51.29	Professional		$3.47	$46.77	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $151.36 / $309.03	Facility		$43.65	$151.36	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $77.62 / $102.33	Professional		$43.65	$77.62	$102.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $131.83 / $323.59	Professional		$74.13	$131.83	$323.59
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 $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $67.61 / $134.90	Facility		$50.12	$67.61	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $51.29 / $93.33	Professional		$28.18	$51.29	$93.33