Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.86 / $264.75 / $877.33	Facility		$70.86	$264.75	$877.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $39.06 / $60.54	Professional		$35.72	$39.06	$60.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $23.82 / $64.30	Professional		$12.86	$23.82	$64.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.68 / $153.68 / $490.04	Facility		$76.68	$153.68	$490.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $36.68 / $47.63	Professional		$3.50	$36.68	$47.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.78 / $117.97 / $218.89	Facility		$48.78	$117.97	$218.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.50 / $58.23 / $86.04	Professional		$30.50	$58.23	$86.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.01 / $85.67 / $476.15	Professional		$50.01	$85.67	$476.15
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 $61.92 / $61.92 / $61.92	Professional		$61.92	$61.92	$61.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.82 / $32.67 / $59.54	Professional		$23.82	$32.67	$59.54
United Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $33.60 / $49.06	Professional		$20.00	$33.60	$49.06