Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $257.04 / $794.33	Facility		$93.33	$257.04	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $97.72 / $295.12	Professional		$93.33	$97.72	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $199.53 / $1,096.48	Facility		$70.79	$199.53	$1,096.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $117.49 / $117.49	Professional		$102.33	$117.49	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $131.83 / $251.19	Professional		$79.43	$131.83	$251.19
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 $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $151.36	Facility		$93.33	$93.33	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $100.00	Professional		$93.33	$93.33	$100.00