Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.60 / $444.05 / $2,198.92	Facility		$132.60	$444.05	$2,198.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.92 / $89.96 / $217.14	Professional		$77.92	$89.96	$217.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.06 / $85.19 / $118.06	Professional		$77.06	$85.19	$118.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.07 / $389.46 / $638.73	Facility		$213.07	$389.46	$638.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.33 / $96.39 / $127.34	Professional		$94.33	$96.39	$127.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.79 / $185.00 / $300.00	Facility		$96.79	$185.00	$300.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.77 / $111.94 / $176.21	Professional		$76.77	$111.94	$176.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $89.95 / $126.80 / $443.42	Professional		$89.95	$126.80	$443.42
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 $103.61 / $106.30 / $113.69	Professional		$103.61	$106.30	$113.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $128.55	Professional		$32.34	$32.34	$128.55
United Facility/Professional Professional Modifier Low / Median / High Price $74.84 / $96.87 / $170.98	Professional		$74.84	$96.87	$170.98