Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.21 / $136.71 / $615.22	Facility		$58.21	$136.71	$615.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.17 / $82.21 / $166.82	Professional		$55.17	$82.21	$166.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.95 / $81.53 / $119.07	Professional		$73.95	$81.53	$119.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.66 / $340.56 / $943.68	Facility		$154.66	$340.56	$943.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.56 / $97.58 / $163.72	Professional		$70.56	$97.58	$163.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.81 / $98.81 / $110.31	Facility		$98.81	$98.81	$110.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.39 / $97.65 / $155.38	Professional		$63.39	$97.65	$155.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $79.87 / $122.26 / $345.40	Professional		$79.87	$122.26	$345.40
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 $70.06 / $74.17 / $112.45	Professional		$70.06	$74.17	$112.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $129.75	Professional		$32.34	$32.34	$129.75
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 $74.45 / $106.19 / $173.52	Professional		$74.45	$106.19	$173.52