Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.70 / $256.63 / $710.18	Facility		$74.70	$256.63	$710.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.33 / $83.83 / $206.60	Professional		$44.33	$83.83	$206.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $179.01 / $179.01 / $179.01	Professional		$179.01	$179.01	$179.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.94 / $282.89 / $870.85	Facility		$149.94	$282.89	$870.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.64 / $90.19 / $169.02	Professional		$51.64	$90.19	$169.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.34 / $101.34 / $113.13	Facility		$101.34	$101.34	$113.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.71 / $87.73 / $159.80	Professional		$50.71	$87.73	$159.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $62.24 / $123.30 / $368.66	Professional		$62.24	$123.30	$368.66
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 $47.54 / $54.05 / $116.71	Professional		$47.54	$54.05	$116.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $134.66	Professional		$32.34	$32.34	$134.66
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $891.00 / $3,592.00	Facility		$165.00	$891.00	$3,592.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.69 / $107.94 / $175.45	Professional		$77.69	$107.94	$175.45