Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.65 / $93.15 / $144.72	Facility		$71.65	$93.15	$144.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $68.88 / $86.84	Professional		$68.20	$68.88	$86.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.53 / $59.53 / $59.53	Professional		$59.53	$59.53	$59.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $291.39 / $466.43 / $1,453.89	Facility		$291.39	$466.43	$1,453.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.00 / $222.18 / $250.93	Professional		$87.00	$222.18	$250.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.20 / $68.20 / $68.20	Facility		$68.20	$68.20	$68.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $68.20 / $105.60	Professional		$68.20	$68.20	$105.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $165.25 / $568.10	Professional		$68.20	$165.25	$568.10
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 $88.66 / $88.66 / $88.66	Professional		$88.66	$88.66	$88.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.53 / $83.34 / $89.30	Professional		$59.53	$83.34	$89.30
United Facility/Professional Facility Modifier Low / Median / High Price $59.53 / $98.22 / $98.22	Facility		$59.53	$98.22	$98.22
United Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $72.29 / $82.52	Professional		$68.20	$72.29	$82.52