Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $79.43 / $102.33	Facility		$70.79	$79.43	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $63.10 / $173.78	Professional		$41.69	$63.10	$173.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $58.88 / $64.57	Professional		$48.98	$58.88	$64.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $177.83 / $213.80	Facility		$125.89	$177.83	$213.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $61.66 / $81.28	Professional		$52.48	$61.66	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $93.33 / $114.82	Facility		$77.62	$93.33	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $72.44 / $120.23	Professional		$48.98	$72.44	$120.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $81.28 / $190.55	Professional		$52.48	$81.28	$190.55
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 $57.54 / $58.88 / $81.28	Professional		$57.54	$58.88	$81.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $95.50	Professional		$30.20	$30.20	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $60.26	Facility		$45.71	$45.71	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $66.07 / $102.33	Professional		$46.77	$66.07	$102.33