Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.91 / $207.46 / $725.12	Facility		$69.91	$207.46	$725.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.39 / $56.40 / $71.23	Professional		$40.39	$56.40	$71.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.78 / $31.07 / $93.21	Professional		$16.78	$31.07	$93.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.13 / $310.48 / $822.06	Facility		$85.13	$310.48	$822.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $44.17 / $47.85	Professional		$3.50	$44.17	$47.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.88 / $151.80 / $285.89	Facility		$69.88	$151.80	$285.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.82 / $72.16 / $94.48	Professional		$50.82	$72.16	$94.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $65.25 / $108.75 / $294.26	Professional		$65.25	$108.75	$294.26
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 $80.78 / $80.78 / $80.78	Professional		$80.78	$80.78	$80.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.14 / $42.63 / $62.14	Professional		$25.14	$42.63	$62.14
United Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $39.58 / $64.00	Professional		$26.10	$39.58	$64.00