Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.25 / $145.47 / $18,115.88	Facility		$85.25	$145.47	$18,115.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $85.25 / $116.89	Professional		$85.12	$85.25	$116.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.25 / $85.25 / $132.36	Professional		$85.25	$85.25	$132.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $222.37 / $338.89 / $1,616.22	Facility		$222.37	$338.89	$1,616.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.71 / $105.83 / $105.83	Professional		$93.71	$105.83	$105.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.12 / $85.12 / $85.12	Facility		$85.12	$85.12	$85.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $85.12 / $103.07	Professional		$85.12	$85.12	$103.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $119.17 / $220.32	Professional		$85.12	$119.17	$220.32
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 $110.66 / $110.66 / $110.66	Professional		$110.66	$110.66	$110.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.87 / $117.42 / $125.81	Professional		$83.87	$117.42	$125.81
United Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $90.23 / $106.40	Professional		$85.12	$90.23	$106.40