Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $79.43 / $128.82	Facility		$51.29	$79.43	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $67.61 / $114.82	Professional		$52.48	$67.61	$114.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $70.79 / $75.86	Professional		$60.26	$70.79	$75.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $302.00 / $1,148.15	Facility		$134.90	$302.00	$1,148.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $83.18 / $85.11	Professional		$77.62	$83.18	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $112.20 / $128.82	Professional		$72.44	$112.20	$128.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $112.20 / $186.21	Professional		$75.86	$112.20	$186.21
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 / $100.00 / $107.15	Professional		$97.72	$100.00	$107.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $173.78	Professional		$32.36	$33.11	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $83.18 / $134.90	Professional		$63.10	$83.18	$134.90