Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.20 / $170.20 / $438.84	Facility		$75.20	$170.20	$438.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.78 / $76.58 / $109.79	Professional		$69.78	$76.58	$109.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.89 / $114.89 / $127.65	Professional		$114.89	$114.89	$127.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.14 / $241.56 / $1,007.96	Facility		$119.14	$241.56	$1,007.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $58.72 / $65.53	Professional		$3.50	$58.72	$65.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.02 / $208.10 / $391.63	Facility		$108.02	$208.10	$391.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.51 / $103.75 / $168.18	Professional		$43.51	$103.75	$168.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $93.61 / $150.00 / $460.32	Professional		$93.61	$150.00	$460.32
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 $110.63 / $110.63 / $110.63	Professional		$110.63	$110.63	$110.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $91.24 / $127.65	Professional		$44.67	$91.24	$127.65
United Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $65.39 / $143.53	Professional		$35.74	$65.39	$143.53