Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $186.21 / $467.74	Facility		$154.88	$186.21	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $169.82 / $331.13	Professional		$131.83	$169.82	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $616.60 / $2,187.76	Facility		$380.19	$616.60	$2,187.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $239.88 / $239.88	Professional		$204.17	$239.88	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $354.81	Facility		$177.83	$177.83	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $346.74	Professional		$128.82	$128.82	$346.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $354.81 / $501.19	Professional		$269.15	$354.81	$501.19
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 $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $251.19 / $457.09	Facility		$120.23	$251.19	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $158.49 / $245.47	Professional		$117.49	$158.49	$245.47