Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.24 / $58.24 / $58.24	Facility		$58.24	$58.24	$58.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.50 / $58.24 / $90.27	Professional		$36.50	$58.24	$90.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.98 / $84.98 / $106.43	Professional		$84.98	$84.98	$106.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.15 / $228.65 / $974.88	Facility		$135.15	$228.65	$974.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.03 / $86.12 / $86.12	Professional		$73.03	$86.12	$86.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.80 / $70.80 / $156.10	Facility		$70.80	$70.80	$156.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.68 / $51.68 / $139.13	Professional		$51.68	$51.68	$139.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $104.22 / $127.34 / $163.72	Professional		$104.22	$127.34	$163.72
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 $147.30 / $147.30 / $147.30	Professional		$147.30	$147.30	$147.30
United Facility/Professional Professional Modifier Low / Median / High Price $46.83 / $56.53 / $100.09	Professional		$46.83	$56.53	$100.09