Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.69 / $217.64 / $490.88	Facility		$169.69	$217.64	$490.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.14 / $159.34 / $269.31	Professional		$126.14	$159.34	$269.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $252.42 / $252.42 / $445.44	Professional		$252.42	$252.42	$445.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.57 / $599.87 / $2,555.09	Facility		$354.57	$599.87	$2,555.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.40 / $225.69 / $225.69	Professional		$191.40	$225.69	$225.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $175.00 / $325.08	Facility		$175.00	$175.00	$325.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.75 / $217.32 / $325.08	Professional		$127.75	$217.32	$325.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $257.38 / $324.99 / $468.95	Professional		$257.38	$324.99	$468.95
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 $386.05 / $386.05 / $386.05	Professional		$386.05	$386.05	$386.05
United Facility/Professional Facility Modifier Low / Median / High Price $296.95 / $424.49 / $788.84	Facility		$296.95	$424.49	$788.84
United Facility/Professional Professional Modifier Low / Median / High Price $110.30 / $148.15 / $254.33	Professional		$110.30	$148.15	$254.33