Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $275.42 / $707.95	Facility		$75.86	$275.42	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $107.15 / $302.00	Professional		$47.86	$107.15	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $58.88 / $125.89	Professional		$30.20	$58.88	$125.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $269.15 / $758.58	Facility		$154.88	$269.15	$758.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $89.13 / $169.82	Professional		$51.29	$89.13	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $87.10 / $158.49	Professional		$48.98	$87.10	$158.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $131.83 / $426.58	Professional		$64.57	$131.83	$426.58
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 $47.86 / $53.70 / $117.49	Professional		$47.86	$53.70	$117.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $141.25	Professional		$32.36	$32.36	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $691.83 / $2,187.76	Facility		$131.83	$691.83	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $85.11 / $141.25	Professional		$47.86	$85.11	$141.25