Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.39 / $78.28 / $96.67	Facility		$71.39	$78.28	$96.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.77 / $57.57 / $99.88	Professional		$41.77	$57.57	$99.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.61 / $57.54 / $62.91	Professional		$56.61	$57.54	$62.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.60 / $182.41 / $182.41	Facility		$125.60	$182.41	$182.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.01 / $65.17 / $80.39	Professional		$53.01	$65.17	$80.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.30 / $63.30 / $77.20	Facility		$63.30	$63.30	$77.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.11 / $72.43 / $109.70	Professional		$50.11	$72.43	$109.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $56.68 / $83.15 / $167.46	Professional		$56.68	$83.15	$167.46
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 $57.20 / $58.68 / $81.87	Professional		$57.20	$58.68	$81.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $92.58	Professional		$30.00	$30.00	$92.58
United Facility/Professional Professional Modifier Low / Median / High Price $60.44 / $78.67 / $123.53	Professional		$60.44	$78.67	$123.53