Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.65 / $73.62 / $107.96	Facility		$69.65	$73.62	$107.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.96 / $71.79 / $114.11	Professional		$60.96	$71.79	$114.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.45 / $68.45 / $68.45	Professional		$68.45	$68.45	$68.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.51 / $354.91 / $1,231.33	Facility		$146.51	$354.91	$1,231.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.84 / $98.12 / $102.28	Professional		$80.84	$98.12	$102.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.28 / $64.28 / $90.86	Professional		$64.28	$64.28	$90.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $66.09 / $97.51 / $203.90	Professional		$66.09	$97.51	$203.90
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 $86.02 / $90.55 / $97.42	Professional		$86.02	$90.55	$97.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $110.16	Professional		$32.34	$32.34	$110.16
United Facility/Professional Professional Modifier Low / Median / High Price $65.93 / $84.80 / $156.90	Professional		$65.93	$84.80	$156.90