Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.62 / $140.80 / $247.20	Facility		$67.62	$140.80	$247.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.21 / $63.18 / $112.24	Professional		$37.21	$63.18	$112.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $94.77	Professional		$15.00	$15.00	$94.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.77 / $434.68 / $1,206.03	Facility		$94.77	$434.68	$1,206.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $54.05 / $70.20	Professional		$3.50	$54.05	$70.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.69 / $174.11 / $323.13	Facility		$96.69	$174.11	$323.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.27 / $81.34 / $125.10	Professional		$37.27	$81.34	$125.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.22 / $112.32 / $242.55	Professional		$77.22	$112.32	$242.55
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 $91.26 / $91.26 / $91.26	Professional		$91.26	$91.26	$91.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.47 / $95.47 / $105.30	Professional		$95.47	$95.47	$105.30
United Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $42.89 / $75.00	Professional		$29.48	$42.89	$75.00