Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.45 / $108.52 / $2,940.14	Facility		$78.45	$108.52	$2,940.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.45 / $79.00 / $105.92	Professional		$78.45	$79.00	$105.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.20 / $75.20 / $90.25	Professional		$75.20	$75.20	$90.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.69 / $350.89 / $1,240.02	Facility		$152.69	$350.89	$1,240.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.72 / $92.29 / $92.29	Professional		$81.72	$92.29	$92.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $79.00 / $79.00	Facility		$79.00	$79.00	$79.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $97.28	Professional		$79.00	$79.00	$97.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $108.00 / $220.43	Professional		$79.00	$108.00	$220.43
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 $102.70 / $102.70 / $102.70	Professional		$102.70	$102.70	$102.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.20 / $105.29 / $112.82	Professional		$75.20	$105.29	$112.82
United Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $83.74 / $97.20	Professional		$79.00	$83.74	$97.20