Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $537.03 / $1,122.02	Facility		$91.20	$537.03	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $107.15 / $562.34	Professional		$81.28	$107.15	$562.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $114.82 / $416.87	Professional		$38.90	$114.82	$416.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $758.58 / $1,412.54	Facility		$446.68	$758.58	$1,412.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $346.74 / $1,096.48	Professional		$186.21	$346.74	$1,096.48
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 $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $263.03 / $263.03	Facility		$85.11	$263.03	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $91.20	Professional		$85.11	$85.11	$91.20