Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.71 / $174.60 / $871.37	Facility		$63.71	$174.60	$871.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.56 / $97.43 / $235.60	Professional		$62.56	$97.43	$235.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.56 / $84.56 / $209.33	Professional		$61.56	$84.56	$209.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.60 / $365.44 / $1,267.26	Facility		$173.60	$365.44	$1,267.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.36 / $117.20 / $197.31	Professional		$82.36	$117.20	$197.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.25 / $125.25 / $139.83	Facility		$125.25	$125.25	$139.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.40 / $113.97 / $182.60	Professional		$72.40	$113.97	$182.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $89.12 / $146.47 / $328.63	Professional		$89.12	$146.47	$328.63
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 $81.06 / $86.14 / $136.02	Professional		$81.06	$86.14	$136.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $153.81	Professional		$32.34	$32.34	$153.81
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,685.00	Facility		$165.00	$891.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $88.57 / $119.23 / $204.91	Professional		$88.57	$119.23	$204.91