Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $128.82 / $199.53	Facility		$75.86	$128.82	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $5,370.32	Professional		$75.86	$75.86	$5,370.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $263.03 / $870.96	Facility		$109.65	$263.03	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $85.11 / $199.53	Professional		$63.10	$85.11	$199.53
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 $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $120.23	Facility		$75.86	$75.86	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $83.18	Professional		$75.86	$75.86	$83.18