Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $489.78 / $870.96	Facility		$263.03	$489.78	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $446.68	Professional		$169.82	$218.78	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $933.25 / $3,311.31	Facility		$323.59	$933.25	$3,311.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $181.97 / $204.17	Professional		$3.47	$181.97	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $537.03 / $1,202.26	Facility		$169.82	$537.03	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $323.59 / $446.68	Professional		$128.82	$323.59	$446.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $416.87 / $851.14	Professional		$269.15	$416.87	$851.14
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 $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $524.81	Facility		$263.03	$263.03	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $158.49 / $281.84	Professional		$109.65	$158.49	$281.84