Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.44 / $126.45 / $398.88	Facility		$64.44	$126.45	$398.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.16 / $63.18 / $93.35	Professional		$56.16	$63.18	$93.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.12 / $42.12 / $94.00	Professional		$42.12	$42.12	$94.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.17 / $198.44 / $1,105.65	Facility		$96.17	$198.44	$1,105.65
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 $88.91 / $171.41 / $323.13	Facility		$88.91	$171.41	$323.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $85.37 / $134.28	Professional		$35.90	$85.37	$134.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $71.59 / $119.34 / $301.64	Professional		$71.59	$119.34	$301.64
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 $19.21 / $51.59 / $105.30	Professional		$19.21	$51.59	$105.30
United Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $52.59 / $75.00	Professional		$29.48	$52.59	$75.00