Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $588.84	Facility		$302.00	$302.00	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $302.00 / $524.81	Professional		$245.47	$302.00	$524.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $954.99 / $5,754.40	Facility		$707.95	$954.99	$5,754.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $446.68 / $446.68	Professional		$389.05	$446.68	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $645.65	Facility		$323.59	$323.59	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $630.96	Professional		$239.88	$239.88	$630.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,819.70 / $3,019.95	Professional		$467.74	$1,819.70	$3,019.95
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 $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $467.74 / $851.14	Facility		$223.87	$467.74	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $288.40 / $457.09	Professional		$218.78	$288.40	$457.09