Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.21 / $72.28 / $505.76	Facility		$54.21	$72.28	$505.76
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $220.41 / $487.28 / $803.56	Facility	25	$220.41	$487.28	$803.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.85 / $97.16 / $228.21	Professional		$54.85	$97.16	$228.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.62 / $96.63 / $116.14	Professional		$75.62	$96.63	$116.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $170.66 / $371.76 / $1,282.55	Facility		$170.66	$371.76	$1,282.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.07 / $91.93 / $95.42	Professional		$91.07	$91.93	$95.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.04 / $116.14 / $181.97	Professional		$75.04	$116.14	$181.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $86.03 / $123.88 / $316.81	Professional		$86.03	$123.88	$316.81
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 $97.47 / $103.73 / $111.84	Professional		$97.47	$103.73	$111.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $117.00	Professional		$32.34	$32.34	$117.00
United Facility/Professional Professional Modifier Low / Median / High Price $83.55 / $113.72 / $194.24	Professional		$83.55	$113.72	$194.24