Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $134.90 / $346.74	Facility		$81.28	$134.90	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $93.33 / $281.84	Professional		$57.54	$93.33	$281.84
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $144.54 / $208.93 / $239.88	Professional	CQ	$144.54	$208.93	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $213.80 / $645.65	Facility		$131.83	$213.80	$645.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $104.71 / $109.65	Professional		$67.61	$104.71	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $70.79 / $112.20	Facility		$54.95	$70.79	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $79.43 / $154.88	Professional		$63.10	$79.43	$154.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $141.25 / $218.78	Professional		$93.33	$141.25	$218.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $131.83	Professional		$123.03	$123.03	$131.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $107.15 / $162.18	Facility		$97.72	$107.15	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $77.62 / $123.03	Professional		$69.18	$77.62	$123.03