Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $74.13 / $107.15	Facility		$64.57	$74.13	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $83.18 / $199.53	Professional		$63.10	$83.18	$199.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $52.48 / $81.28	Professional		$20.89	$52.48	$81.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $223.87 / $851.14	Facility		$120.23	$223.87	$851.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $44.67 / $147.91	Professional		$26.92	$44.67	$147.91
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 $31.62 / $31.62 / $34.67	Professional		$31.62	$31.62	$34.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $53.70	Professional		$17.38	$17.38	$53.70
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $251.19 / $251.19	Facility		$186.21	$251.19	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $75.86 / $79.43	Professional		$64.57	$75.86	$79.43