Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.89 / $123.79 / $558.28	Facility		$73.89	$123.79	$558.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.07 / $79.70 / $141.79	Professional		$53.07	$79.70	$141.79
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $118.88 / $147.00 / $154.35	Professional	50	$118.88	$147.00	$154.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.59 / $65.59 / $69.73	Professional		$65.59	$65.59	$69.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.98 / $357.50 / $976.99	Facility		$181.98	$357.50	$976.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.30 / $89.87 / $152.87	Professional		$64.30	$89.87	$152.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.64 / $90.64 / $101.18	Facility		$90.64	$90.64	$101.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.73 / $92.88 / $152.44	Professional		$62.73	$92.88	$152.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $76.08 / $118.08 / $345.40	Professional		$76.08	$118.08	$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 $65.20 / $68.20 / $104.31	Professional		$65.20	$68.20	$104.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $120.36	Professional		$32.34	$32.34	$120.36
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 $71.61 / $104.15 / $165.86	Professional		$71.61	$104.15	$165.86