Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $467.74 / $831.76	Facility		$114.82	$467.74	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $104.71 / $275.42	Professional		$100.00	$104.71	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $363.08 / $1,862.09	Facility		$125.89	$363.08	$1,862.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $194.98 / $295.12	Professional		$141.25	$194.98	$295.12
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 $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $186.21 / $186.21	Facility		$107.15	$186.21	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $114.82	Professional		$107.15	$107.15	$114.82