Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $794.33 / $1,621.81	Facility		$302.00	$794.33	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $316.23 / $1,023.29	Professional		$269.15	$316.23	$1,023.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $288.40 / $323.59	Professional		$229.09	$288.40	$323.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,778.28 / $6,309.57	Facility		$645.65	$1,778.28	$6,309.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $602.56 / $831.76	Professional		$426.58	$602.56	$831.76
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 $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $691.83 / $691.83	Facility		$363.08	$691.83	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $380.19	Professional		$363.08	$363.08	$380.19