Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.00 / $166.61 / $277.27	Facility		$82.00	$166.61	$277.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.68 / $120.00 / $127.10	Professional		$71.68	$120.00	$127.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $430.43 / $1,322.86	Facility		$135.00	$430.43	$1,322.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $73.15 / $77.00	Professional		$3.50	$73.15	$77.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.26 / $239.20 / $460.12	Facility		$84.26	$239.20	$460.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.94 / $114.81 / $152.30	Professional		$48.94	$114.81	$152.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $157.25 / $352.19	Professional		$100.00	$157.25	$352.19
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 $130.00 / $130.00 / $130.00	Professional		$130.00	$130.00	$130.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.46 / $54.93 / $125.00	Professional		$27.46	$54.93	$125.00
United Facility/Professional Professional Modifier Low / Median / High Price $41.87 / $58.37 / $100.00	Professional		$41.87	$58.37	$100.00