Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $912.01 / $912.01	Facility		$794.33	$912.01	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $794.33 / $912.01	Professional		$478.63	$794.33	$912.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $7,413.10 / $14,125.38	Facility		$2,754.23	$7,413.10	$14,125.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $77.62 / $77.62	Professional		$61.66	$77.62	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $85.11 / $346.74	Professional		$66.07	$85.11	$346.74
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 $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $588.84 / $794.33	Facility		$39.81	$588.84	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,230.27 / $2,041.74	Professional		$478.63	$1,230.27	$2,041.74