Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $151.36 / $263.03	Facility		$66.07	$151.36	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $162.18 / $478.63	Professional		$138.04	$162.18	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $117.49 / $199.53	Professional		$47.86	$117.49	$199.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $501.19 / $1,995.26	Facility		$263.03	$501.19	$1,995.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $223.87 / $346.74	Professional		$144.54	$223.87	$346.74
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $123.03	Professional		$17.38	$17.38	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $194.98 / $194.98	Facility		$177.83	$194.98	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $177.83 / $186.21	Professional		$147.91	$177.83	$186.21