Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.71 / $104.58 / $117.10	Facility		$61.71	$104.58	$117.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.39 / $92.37 / $238.02	Professional		$56.39	$92.37	$238.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.93 / $87.91 / $98.90	Professional		$65.93	$87.91	$98.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $437.50 / $1,612.50	Facility		$200.00	$437.50	$1,612.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $118.78 / $126.77	Professional		$81.28	$118.78	$126.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.67 / $98.90 / $141.88	Professional		$70.67	$98.90	$141.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $76.92 / $111.91 / $530.15	Professional		$76.92	$111.91	$530.15
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 $86.20 / $89.60 / $95.24	Professional		$86.20	$89.60	$95.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $99.63	Professional		$32.34	$32.34	$99.63
United Facility/Professional Professional Modifier Low / Median / High Price $68.54 / $88.38 / $138.08	Professional		$68.54	$88.38	$138.08