Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.67 / $111.56 / $213.64	Facility		$83.67	$111.56	$213.64
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $216.47 / $258.30 / $258.30	Facility	25	$216.47	$258.30	$258.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.83 / $139.46 / $316.00	Professional		$86.83	$139.46	$316.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.71 / $154.25 / $187.80	Professional		$120.71	$154.25	$187.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $233.45 / $532.26 / $1,939.05	Facility		$233.45	$532.26	$1,939.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.90 / $143.32 / $148.75	Professional		$142.90	$143.32	$148.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.83 / $180.12 / $254.14	Professional		$119.83	$180.12	$254.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $131.69 / $192.58 / $382.05	Professional		$131.69	$192.58	$382.05
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 $155.05 / $162.76 / $174.37	Professional		$155.05	$162.76	$174.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $182.42	Professional		$32.34	$32.34	$182.42
United Facility/Professional Professional Modifier Low / Median / High Price $116.55 / $154.43 / $263.57	Professional		$116.55	$154.43	$263.57