Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.54 / $426.56 / $474.72	Facility		$128.54	$426.56	$474.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.08 / $426.56 / $725.15	Professional		$326.08	$426.56	$725.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $622.42 / $622.42 / $705.42	Professional		$622.42	$622.42	$705.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $992.16 / $1,678.56 / $7,273.55	Facility		$992.16	$1,678.56	$7,273.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $405.23 / $630.73 / $630.73	Professional		$405.23	$630.73	$630.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $460.00 / $460.00 / $753.42	Facility		$460.00	$460.00	$753.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.80 / $460.00 / $962.25	Professional		$335.80	$460.00	$962.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $684.93 / $979.13 / $1,413.44	Professional		$684.93	$979.13	$1,413.44
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 $1,078.88 / $1,078.88 / $1,078.88	Professional		$1,078.88	$1,078.88	$1,078.88
United Facility/Professional Professional Modifier Low / Median / High Price $284.76 / $414.04 / $710.76	Professional		$284.76	$414.04	$710.76