Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.51 / $68.67 / $113.38	Facility		$51.51	$68.67	$113.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.84 / $80.08 / $180.89	Professional		$55.84	$80.08	$180.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.26 / $95.63 / $112.27	Professional		$74.26	$95.63	$112.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.40 / $309.36 / $1,073.31	Facility		$126.40	$309.36	$1,073.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.44 / $88.62 / $91.28	Professional		$88.44	$88.62	$91.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.31 / $101.73 / $150.32	Professional		$71.31	$101.73	$150.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $82.32 / $120.00 / $233.76	Professional		$82.32	$120.00	$233.76
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 $91.89 / $96.94 / $108.11	Professional		$91.89	$96.94	$108.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $113.10	Professional		$32.34	$32.34	$113.10
United Facility/Professional Professional Modifier Low / Median / High Price $62.92 / $87.73 / $137.50	Professional		$62.92	$87.73	$137.50