Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $263.03	Facility		$245.47	$245.47	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $213.80 / $245.47	Professional		$134.90	$213.80	$245.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $478.63 / $2,290.87	Facility		$309.03	$478.63	$2,290.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $257.04 / $257.04	Professional		$204.17	$257.04	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $346.74 / $524.81	Professional		$218.78	$346.74	$524.81
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 $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $263.03	Facility		$204.17	$204.17	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $213.80 / $346.74	Professional		$128.82	$213.80	$346.74