Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $234.42 / $436.52	Facility		$114.82	$234.42	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $269.15	Professional		$85.11	$120.23	$269.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $120.23 / $141.25	Professional		$70.79	$120.23	$141.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $758.58 / $2,344.23	Facility		$181.97	$758.58	$2,344.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $109.65 / $141.25	Professional		$3.47	$109.65	$141.25
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 $72.44 / $173.78 / $263.03	Professional		$72.44	$173.78	$263.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $213.80 / $371.54	Professional		$151.36	$213.80	$371.54
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 / $95.50 / $151.36	Professional		$60.26	$95.50	$151.36