Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $100.00 / $186.21	Facility		$51.29	$100.00	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $95.50 / $251.19	Professional		$70.79	$95.50	$251.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $70.79 / $89.13	Professional		$56.23	$70.79	$89.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $275.42 / $870.96	Facility		$151.36	$275.42	$870.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $109.65 / $158.49	Professional		$72.44	$109.65	$158.49
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 $75.86 / $114.82 / $114.82	Facility		$75.86	$114.82	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $85.11 / $89.13	Professional		$72.44	$85.11	$89.13