Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.39 / $114.96 / $193.23	Facility		$55.39	$114.96	$193.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $55.39 / $64.41	Professional		$34.14	$55.39	$64.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $38.65 / $38.65	Professional		$38.65	$38.65	$38.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.35 / $150.93 / $677.04	Facility		$86.35	$150.93	$677.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $49.60 / $49.60	Professional		$3.50	$49.60	$49.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.30 / $157.77 / $296.33	Facility		$67.30	$157.77	$296.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.07 / $74.67 / $98.09	Professional		$42.07	$74.67	$98.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $65.70 / $112.72 / $345.40	Professional		$65.70	$112.72	$345.40
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 $83.73 / $83.73 / $83.73	Professional		$83.73	$83.73	$83.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.66 / $32.21 / $47.34	Professional		$23.66	$32.21	$47.34
United Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $38.65 / $66.34	Professional		$27.05	$38.65	$66.34