Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $194.98 / $354.81	Facility		$83.18	$194.98	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $109.65 / $346.74	Professional		$72.44	$109.65	$346.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $46.77 / $47.86	Professional		$40.74	$46.77	$47.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $501.19 / $1,548.82	Facility		$123.03	$501.19	$1,548.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $74.13 / $95.50	Professional		$3.47	$74.13	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $199.53 / $436.52	Facility		$61.66	$199.53	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $117.49 / $173.78	Professional		$52.48	$117.49	$173.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $158.49 / $346.74	Professional		$104.71	$158.49	$346.74
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 $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
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 $95.50 / $95.50 / $190.55	Facility		$95.50	$95.50	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $64.57 / $102.33	Professional		$39.81	$64.57	$102.33