Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $112.20 / $891.25	Facility		$53.70	$112.20	$891.25
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $218.78 / $489.78 / $812.83	Facility	25	$218.78	$489.78	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $104.71 / $229.09	Professional		$61.66	$104.71	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $83.18 / $112.20	Professional		$70.79	$83.18	$112.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $371.54 / $1,258.93	Facility		$173.78	$371.54	$1,258.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $95.50	Professional		$91.20	$91.20	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $181.97	Professional		$79.43	$114.82	$181.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $134.90 / $407.38	Professional		$85.11	$134.90	$407.38
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 $97.72 / $104.71 / $112.20	Professional		$97.72	$104.71	$112.20
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 $79.43 / $79.43 / $85.11	Facility		$79.43	$79.43	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $112.20 / $181.97	Professional		$81.28	$112.20	$181.97