Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $90.79 / $245.72	Facility		$69.84	$90.79	$245.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $71.37 / $90.79	Professional		$69.84	$71.37	$90.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.63 / $67.63 / $67.63	Professional		$67.63	$67.63	$67.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.47 / $290.62 / $1,126.25	Facility		$126.47	$290.62	$1,126.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.15 / $80.36 / $80.36	Professional		$71.15	$80.36	$80.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.37 / $71.37 / $71.37	Facility		$71.37	$71.37	$71.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $71.37 / $84.91	Professional		$71.37	$71.37	$84.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $93.07 / $174.46	Professional		$71.37	$93.07	$174.46
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 $92.78 / $92.78 / $92.78	Professional		$92.78	$92.78	$92.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.63 / $94.68 / $101.45	Professional		$67.63	$94.68	$101.45
United Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $75.65 / $83.77	Professional		$71.37	$75.65	$83.77