Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $250.23 / $430.14	Facility		$52.48	$250.23	$430.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.59 / $101.78 / $135.22	Professional		$85.59	$101.78	$135.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.95 / $93.95 / $93.95	Professional		$93.95	$93.95	$93.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.89 / $47.77 / $255.24	Facility		$18.89	$47.77	$255.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $89.26 / $101.78	Professional		$3.50	$89.26	$101.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.42 / $374.55 / $720.71	Facility		$109.42	$374.55	$720.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.33 / $167.55 / $216.56	Professional		$82.33	$167.55	$216.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $220.79 / $548.04	Professional		$150.00	$220.79	$548.04
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 $203.57 / $203.57 / $203.57	Professional		$203.57	$203.57	$203.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.30 / $86.12 / $156.59	Professional		$78.30	$86.12	$156.59
United Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $73.79 / $156.59	Professional		$63.00	$73.79	$156.59