Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $89.13 / $165.96	Facility		$42.66	$89.13	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $128.82 / $331.13	Professional		$57.54	$128.82	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $97.72 / $218.78	Professional		$83.18	$97.72	$218.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,348.96 / $2,818.38	Facility		$575.44	$1,348.96	$2,818.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $123.03 / $281.84	Professional		$47.86	$123.03	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $194.98 / $398.11	Facility		$85.11	$194.98	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $177.83 / $269.15	Professional		$112.20	$177.83	$269.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $575.44 / $724.44	Professional		$162.18	$575.44	$724.44
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $107.15 / $208.93	Facility		$35.48	$107.15	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $181.97 / $251.19	Professional		$128.82	$181.97	$251.19