Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.09 / $440.64 / $769.28	Facility		$131.09	$440.64	$769.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.75 / $172.93 / $198.18	Professional		$93.75	$172.93	$198.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.20 / $98.20 / $98.20	Professional		$98.20	$98.20	$98.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $206.94 / $429.22 / $998.51	Facility		$206.94	$429.22	$998.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.88 / $90.90 / $147.71	Professional		$47.88	$90.90	$147.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.96 / $112.96 / $112.96	Facility		$112.96	$112.96	$112.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.91 / $78.91 / $300.51	Professional		$78.91	$78.91	$300.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $84.18 / $124.05 / $444.60	Professional		$84.18	$124.05	$444.60
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 $115.10 / $115.19 / $127.66	Professional		$115.10	$115.19	$127.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,500.00	Professional		$32.34	$32.34	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $143.54 / $244.16 / $437.63	Professional		$143.54	$244.16	$437.63