Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $64.57 / $154.88	Facility		$39.81	$64.57	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $47.86 / $114.82	Professional		$36.31	$47.86	$114.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $67.61	Professional		$41.69	$41.69	$67.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $181.97 / $537.03	Facility		$123.03	$181.97	$537.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $60.26 / $74.13	Professional		$43.65	$60.26	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $251.19 / $269.15	Facility		$141.25	$251.19	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $61.66 / $102.33	Professional		$40.74	$61.66	$102.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $69.18 / $239.88	Professional		$43.65	$69.18	$239.88
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 $45.71 / $47.86 / $63.10	Professional		$45.71	$47.86	$63.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $251.19 / $331.13	Facility		$141.25	$251.19	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $60.26 / $95.50	Professional		$41.69	$60.26	$95.50