Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.09 / $157.34 / $665.26	Facility		$64.09	$157.34	$665.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.82 / $95.32 / $213.36	Professional		$57.82	$95.32	$213.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.90 / $114.90 / $129.26	Professional		$114.90	$114.90	$129.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.60 / $345.72 / $1,170.47	Facility		$147.60	$345.72	$1,170.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.01 / $106.28 / $179.99	Professional		$74.01	$106.28	$179.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.55 / $114.55 / $127.88	Facility		$114.55	$114.55	$127.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.61 / $104.98 / $165.49	Professional		$65.61	$104.98	$165.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $82.98 / $134.05 / $294.91	Professional		$82.98	$134.05	$294.91
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 $74.84 / $80.02 / $124.48	Professional		$74.84	$80.02	$124.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $143.63	Professional		$32.34	$32.34	$143.63
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $843.00 / $3,685.00	Facility		$165.00	$843.00	$3,685.00
United Facility/Professional Professional Modifier Low / Median / High Price $80.16 / $107.06 / $185.09	Professional		$80.16	$107.06	$185.09