Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $91.20 / $229.09	Facility		$72.44	$91.20	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $95.50 / $257.04	Professional		$70.79	$95.50	$257.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $63.10 / $93.33	Professional		$48.98	$63.10	$93.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $295.12 / $1,148.15	Facility		$158.49	$295.12	$1,148.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $114.82 / $165.96	Professional		$77.62	$114.82	$165.96
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 $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $120.23 / $120.23	Facility		$87.10	$120.23	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $100.00 / $102.33	Professional		$85.11	$100.00	$102.33