Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $138.04 / $316.23	Facility		$83.18	$138.04	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $85.11 / $239.88	Professional		$83.18	$85.11	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $89.13	Professional		$63.10	$63.10	$89.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $371.54 / $1,230.27	Facility		$22.39	$371.54	$1,230.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $23.99 / $263.03	Professional		$14.79	$23.99	$263.03
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 $17.38 / $17.78 / $19.05	Professional		$17.38	$17.78	$19.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $77.62	Professional		$75.86	$75.86	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $213.80 / $213.80	Facility		$158.49	$213.80	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $100.00 / $131.83	Professional		$83.18	$100.00	$131.83