Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $131.83 / $316.23	Facility		$69.18	$131.83	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $83.18 / $181.97	Professional		$61.66	$83.18	$181.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $81.28	Professional		$53.70	$53.70	$81.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $354.81 / $1,071.52	Facility		$151.36	$354.81	$1,071.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $107.15 / $165.96	Professional		$89.13	$107.15	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $97.72 / $141.25	Professional		$64.57	$97.72	$141.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $123.03 / $524.81	Professional		$79.43	$123.03	$524.81
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 $85.11 / $87.10 / $93.33	Professional		$85.11	$87.10	$93.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $75.86	Facility		$47.86	$47.86	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $91.20 / $131.83	Professional		$74.13	$91.20	$131.83