Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $102.33 / $169.82	Facility		$52.48	$102.33	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $61.66 / $169.82	Professional		$42.66	$61.66	$169.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $53.70 / $83.18	Professional		$35.48	$53.70	$83.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $144.54 / $741.31	Facility		$93.33	$144.54	$741.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $83.18 / $123.03	Professional		$69.18	$83.18	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $162.18 / $416.87	Facility		$87.10	$162.18	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $64.57 / $97.72	Professional		$38.90	$64.57	$97.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $123.03 / $199.53	Professional		$63.10	$123.03	$199.53
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 $64.57 / $64.57 / $72.44	Professional		$64.57	$64.57	$72.44
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 $48.98 / $74.13 / $229.09	Facility		$48.98	$74.13	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $56.23 / $93.33	Professional		$36.31	$56.23	$93.33