Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $269.15 / $602.56	Facility		$87.10	$269.15	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $91.20 / $208.93	Professional		$47.86	$91.20	$208.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $57.54 / $85.11	Professional		$45.71	$57.54	$85.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $251.19 / $724.44	Facility		$165.96	$251.19	$724.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $107.15 / $181.97	Professional		$64.57	$107.15	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $89.13 / $158.49	Professional		$53.70	$89.13	$158.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $141.25 / $346.74	Professional		$69.18	$141.25	$346.74
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 $63.10 / $67.61 / $125.89	Professional		$63.10	$67.61	$125.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $158.49	Professional		$32.36	$32.36	$158.49
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 $48.98 / $79.43 / $144.54	Professional		$48.98	$79.43	$144.54