Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $147.91 / $436.52	Facility		$66.07	$147.91	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $134.90 / $436.52	Professional		$95.50	$134.90	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $134.90 / $154.88	Professional		$112.20	$134.90	$154.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $281.84 / $1,621.81	Facility		$97.72	$281.84	$1,621.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $186.21 / $288.40	Professional		$89.13	$186.21	$288.40
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 $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $218.78 / $218.78	Facility		$125.89	$218.78	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $141.25 / $141.25	Professional		$117.49	$141.25	$141.25