Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.17 / $118.46 / $958.28	Facility		$70.17	$118.46	$958.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.15 / $76.47 / $133.27	Professional		$65.15	$76.47	$133.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.54 / $66.80 / $94.33	Professional		$60.54	$66.80	$94.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.72 / $332.73 / $1,049.58	Facility		$204.72	$332.73	$1,049.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.67 / $78.58 / $104.92	Professional		$72.67	$78.58	$104.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.95 / $575.00 / $1,779.00	Facility		$80.95	$575.00	$1,779.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.26 / $96.25 / $155.26	Professional		$68.26	$96.25	$155.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $74.87 / $102.73 / $343.95	Professional		$74.87	$102.73	$343.95
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 $85.09 / $87.59 / $92.69	Professional		$85.09	$87.59	$92.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $104.81	Professional		$32.34	$32.34	$104.81
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $420.00 / $900.00	Facility		$300.00	$420.00	$900.00
United Facility/Professional Professional Modifier Low / Median / High Price $66.97 / $86.30 / $142.05	Professional		$66.97	$86.30	$142.05