Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.62 / $134.18 / $370.43	Facility		$44.62	$134.18	$370.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.56 / $79.59 / $399.00	Professional		$64.56	$79.59	$399.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.96 / $95.96 / $122.67	Professional		$95.96	$95.96	$122.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.67 / $280.54 / $604.24	Facility		$176.67	$280.54	$604.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.73 / $91.67 / $166.94	Professional		$57.73	$91.67	$166.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.98 / $60.98 / $72.76	Facility		$60.98	$60.98	$72.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $102.26 / $152.68	Professional		$67.73	$102.26	$152.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $80.58 / $119.30 / $382.56	Professional		$80.58	$119.30	$382.56
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 $88.62 / $89.53 / $95.23	Professional		$88.62	$89.53	$95.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $36.90 / $99.62	Professional		$32.34	$36.90	$99.62
United Facility/Professional Professional Modifier Low / Median / High Price $75.09 / $95.36 / $145.31	Professional		$75.09	$95.36	$145.31