Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.86 / $170.98 / $632.40	Facility		$74.86	$170.98	$632.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.67 / $54.11 / $77.22	Professional		$39.67	$54.11	$77.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.92 / $44.92 / $101.06	Professional		$44.92	$44.92	$101.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.55 / $399.46 / $990.25	Facility		$102.55	$399.46	$990.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $53.20 / $57.64	Professional		$3.50	$53.20	$57.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.20 / $184.56 / $343.98	Facility		$78.20	$184.56	$343.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.96 / $91.27 / $114.09	Professional		$50.96	$91.27	$114.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $78.59 / $120.00 / $561.24	Professional		$78.59	$120.00	$561.24
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 $97.32 / $97.32 / $97.32	Professional		$97.32	$97.32	$97.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.43 / $51.35 / $93.58	Professional		$37.43	$51.35	$93.58
United Facility/Professional Professional Modifier Low / Median / High Price $31.44 / $55.00 / $74.86	Professional		$31.44	$55.00	$74.86