Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $512.86 / $1,513.56	Facility		$85.11	$512.86	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $537.03 / $977.24	Professional		$85.11	$537.03	$977.24
Ambetter 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
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,951.21 / $3,630.78	Facility		$2,630.27	$2,951.21	$3,630.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $245.47 / $912.01	Professional		$87.10	$245.47	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $933.25 / $1,479.11	Professional		$109.65	$933.25	$1,479.11
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 $109.65 / $112.20 / $1,174.90	Professional		$109.65	$112.20	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $5,011.87 / $7,244.36	Facility		$3,090.30	$5,011.87	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $954.99 / $1,584.89	Professional		$691.83	$954.99	$1,584.89