Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.16 / $172.28 / $344.56	Facility		$72.16	$172.28	$344.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.80 / $62.35 / $207.17	Professional		$45.80	$62.35	$207.17
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $217.68 / $217.68 / $217.68	Professional	25	$217.68	$217.68	$217.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.29 / $57.40 / $74.37	Professional		$52.29	$57.40	$74.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.93 / $102.46 / $231.45	Facility		$68.93	$102.46	$231.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.10 / $75.06 / $77.93	Professional		$61.10	$75.06	$77.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.58 / $61.58 / $61.58	Facility		$61.58	$61.58	$61.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.80 / $48.80 / $64.79	Professional		$48.80	$48.80	$64.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.82 / $63.54 / $148.62	Professional		$43.82	$63.54	$148.62
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 $66.56 / $67.02 / $71.62	Professional		$66.56	$67.02	$71.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $80.98	Professional		$32.34	$32.34	$80.98
United Facility/Professional Professional Modifier Low / Median / High Price $31.68 / $61.31 / $113.95	Professional		$31.68	$61.31	$113.95