Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $186.21 / $478.63	Facility		$104.71	$186.21	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $128.82 / $302.00	Professional		$104.71	$128.82	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $112.20 / $158.49	Professional		$104.71	$112.20	$158.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $426.58 / $1,621.81	Facility		$251.19	$426.58	$1,621.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $151.36 / $151.36	Professional		$134.90	$151.36	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $323.59 / $549.54	Professional		$112.20	$323.59	$549.54
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 $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $112.20 / $213.80	Facility		$104.71	$112.20	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $138.04	Professional		$104.71	$104.71	$138.04