Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.52 / $73.30 / $215.42	Facility		$43.52	$73.30	$215.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.49 / $49.60 / $86.63	Professional		$38.49	$49.60	$86.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.52 / $42.52 / $52.20	Professional		$42.52	$42.52	$52.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.29 / $845.39 / $1,966.64	Facility		$126.29	$845.39	$1,966.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.25 / $76.61 / $109.38	Professional		$48.25	$76.61	$109.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.10 / $142.91 / $268.05	Facility		$140.10	$142.91	$268.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.69 / $67.87 / $108.10	Professional		$46.69	$67.87	$108.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $73.93 / $261.45	Professional		$46.32	$73.93	$261.45
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 $46.23 / $51.36 / $71.19	Professional		$46.23	$51.36	$71.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $80.50	Professional		$32.34	$32.34	$80.50
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $963.00 / $3,686.00	Facility		$165.00	$963.00	$3,686.00
United Facility/Professional Professional Modifier Low / Median / High Price $51.13 / $67.41 / $114.46	Professional		$51.13	$67.41	$114.46