Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $141.25 / $416.87	Facility		$67.61	$141.25	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $63.10 / $208.93	Professional		$52.48	$63.10	$208.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $41.69 / $75.86	Professional		$29.51	$41.69	$75.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $190.55 / $954.99	Facility		$95.50	$190.55	$954.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $53.70 / $70.79	Professional		$3.47	$53.70	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $162.18 / $323.59	Facility		$45.71	$162.18	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $85.11 / $144.54	Professional		$36.31	$85.11	$144.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $120.23 / $346.74	Professional		$70.79	$120.23	$346.74
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 $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $141.25	Facility		$70.79	$70.79	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $50.12 / $75.86	Professional		$29.51	$50.12	$75.86