Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $251.19 / $724.44	Facility		$85.11	$251.19	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $107.15 / $323.59	Professional		$74.13	$107.15	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $144.54 / $158.49	Professional		$60.26	$144.54	$158.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $416.87 / $912.01	Facility		$223.87	$416.87	$912.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $107.15 / $194.98	Professional		$57.54	$107.15	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $245.47 / $295.12	Facility		$97.72	$245.47	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $120.23 / $194.98	Professional		$77.62	$120.23	$194.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $186.21 / $588.84	Professional		$100.00	$186.21	$588.84
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 $104.71 / $104.71 / $112.20	Professional		$104.71	$104.71	$112.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $58.88 / $109.65	Facility		$30.90	$58.88	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $109.65 / $162.18	Professional		$85.11	$109.65	$162.18