Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.20 / $188.42 / $735.84	Facility		$81.20	$188.42	$735.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.46 / $52.83 / $62.08	Professional		$47.46	$52.83	$62.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.31 / $43.31 / $43.31	Professional		$43.31	$43.31	$43.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.29 / $297.95 / $1,052.31	Facility		$95.29	$297.95	$1,052.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $49.81 / $55.59	Professional		$3.50	$49.81	$55.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.91 / $178.99 / $332.06	Facility		$80.91	$178.99	$332.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.03 / $83.01 / $109.96	Professional		$59.03	$83.01	$109.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $75.80 / $115.50 / $364.49	Professional		$75.80	$115.50	$364.49
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 $93.85 / $93.85 / $93.85	Professional		$93.85	$93.85	$93.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.10 / $49.52 / $90.24	Professional		$36.10	$49.52	$90.24
United Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $43.31 / $72.19	Professional		$30.32	$43.31	$72.19