Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $173.78 / $478.63	Facility		$85.11	$173.78	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $75.86 / $173.78	Professional		$63.10	$75.86	$173.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $58.88 / $128.82	Professional		$51.29	$58.88	$128.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $229.09 / $870.96	Facility		$114.82	$229.09	$870.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $58.88 / $66.07	Professional		$3.47	$58.88	$66.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $190.55 / $389.05	Facility		$54.95	$190.55	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $104.71 / $173.78	Professional		$43.65	$104.71	$173.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $162.18 / $457.09	Professional		$89.13	$162.18	$457.09
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 $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $169.82	Facility		$85.11	$85.11	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $61.66 / $85.11	Professional		$35.48	$61.66	$85.11