Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.00 / $211.58 / $549.01	Facility		$63.00	$211.58	$549.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.07 / $74.73 / $95.76	Professional		$40.07	$74.73	$95.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.66 / $68.66 / $68.66	Professional		$68.66	$68.66	$68.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.89 / $47.77 / $186.52	Facility		$18.89	$47.77	$186.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $65.23 / $74.38	Professional		$3.50	$65.23	$74.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.95 / $273.72 / $527.13	Facility		$79.95	$273.72	$527.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $120.82 / $158.44	Professional		$60.16	$120.82	$158.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $114.43 / $160.19 / $296.50	Professional		$114.43	$160.19	$296.50
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 $148.76 / $148.76 / $148.76	Professional		$148.76	$148.76	$148.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.05 / $62.94 / $143.04	Professional		$42.05	$62.94	$143.04
United Facility/Professional Professional Modifier Low / Median / High Price $40.95 / $48.06 / $114.43	Professional		$40.95	$48.06	$114.43