Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $123.03 / $269.15	Facility		$74.13	$123.03	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $74.13 / $208.93	Professional		$66.07	$74.13	$208.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $41.69 / $64.57	Professional		$34.67	$41.69	$64.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $97.72 / $524.81	Facility		$81.28	$97.72	$524.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $60.26 / $70.79	Professional		$3.47	$60.26	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $131.83 / $323.59	Facility		$45.71	$131.83	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $97.72 / $128.82	Professional		$61.66	$97.72	$128.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $120.23 / $316.23	Professional		$77.62	$120.23	$316.23
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 $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $39.81	Professional		$30.20	$30.20	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $141.25	Facility		$70.79	$70.79	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $46.77 / $81.28	Professional		$35.48	$46.77	$81.28