Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.05 / $122.82 / $516.88	Facility		$48.05	$122.82	$516.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.47 / $71.06 / $281.58	Professional		$53.47	$71.06	$281.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.24 / $49.24 / $99.07	Professional		$49.24	$49.24	$99.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.72 / $226.97 / $487.48	Facility		$135.72	$226.97	$487.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.12 / $74.80 / $136.21	Professional		$49.12	$74.80	$136.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.88 / $55.88 / $62.49	Facility		$55.88	$55.88	$62.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.54 / $84.24 / $127.38	Professional		$54.54	$84.24	$127.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $65.75 / $97.34 / $356.25	Professional		$65.75	$97.34	$356.25
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 $72.31 / $72.75 / $77.70	Professional		$72.31	$72.75	$77.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.42 / $32.16 / $77.87	Professional		$14.42	$32.16	$77.87
United Facility/Professional Professional Modifier Low / Median / High Price $61.09 / $81.16 / $118.87	Professional		$61.09	$81.16	$118.87