Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.53 / $84.32 / $211.86	Facility		$48.53	$84.32	$211.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $96.78	Professional		$51.31	$51.31	$96.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $76.00 / $76.00	Professional		$76.00	$76.00	$76.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.03 / $242.18 / $971.29	Facility		$60.03	$242.18	$971.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $43.10 / $51.31	Professional		$3.50	$43.10	$51.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.36 / $122.73 / $236.76	Facility		$67.36	$122.73	$236.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.01 / $55.15 / $86.81	Professional		$25.01	$55.15	$86.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $56.70 / $89.79 / $154.46	Professional		$56.70	$89.79	$154.46
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 $66.70 / $66.70 / $66.70	Professional		$66.70	$66.70	$66.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.43	Professional		$30.00	$30.00	$75.43
United Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $51.31 / $95.15	Professional		$30.79	$51.31	$95.15