Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.45 / $127.08 / $8,131.97	Facility		$74.45	$127.08	$8,131.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $74.45 / $92.69	Professional		$74.36	$74.45	$92.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.88 / $328.32 / $1,238.88	Facility		$142.88	$328.32	$1,238.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.06 / $91.56 / $91.56	Professional		$81.06	$91.56	$91.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.36 / $74.36 / $74.36	Facility		$74.36	$74.36	$74.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $74.36 / $90.05	Professional		$74.36	$74.36	$90.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $99.87 / $195.25	Professional		$74.36	$99.87	$195.25
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 $96.67 / $96.67 / $96.67	Professional		$96.67	$96.67	$96.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.37 / $102.72 / $110.06	Professional		$73.37	$102.72	$110.06
United Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $78.64 / $83.28	Professional		$74.36	$78.64	$83.28