Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.53 / $95.04 / $178.49	Facility		$44.53	$95.04	$178.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.31 / $149.99 / $347.27	Professional		$117.31	$149.99	$347.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.26 / $131.30 / $153.47	Professional		$102.26	$131.30	$153.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $858.82 / $1,741.20 / $3,679.44	Facility		$858.82	$1,741.20	$3,679.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.34 / $158.76 / $353.43	Professional		$59.34	$158.76	$353.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.34 / $301.83 / $501.74	Facility		$159.34	$301.83	$501.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.08 / $199.81 / $296.57	Professional		$125.08	$199.81	$296.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $208.95 / $757.19 / $860.91	Professional		$208.95	$757.19	$860.91
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 $30.00 / $30.00 / $2,500.00	Professional		$30.00	$30.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $141.86 / $190.14 / $306.61	Professional		$141.86	$190.14	$306.61