Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.18 / $128.22 / $283.13	Facility		$76.18	$128.22	$283.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $75.78 / $94.93	Professional		$75.03	$75.78	$94.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $75.03 / $75.03	Professional		$75.03	$75.03	$75.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.52 / $216.29 / $1,054.36	Facility		$98.52	$216.29	$1,054.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.16 / $96.00 / $105.22	Professional		$93.16	$96.00	$105.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.02 / $75.02 / $75.02	Facility		$75.02	$75.02	$75.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.02 / $75.02 / $99.09	Professional		$75.02	$75.02	$99.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $63.94 / $118.44 / $246.80	Professional		$63.94	$118.44	$246.80
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 $97.54 / $97.54 / $97.54	Professional		$97.54	$97.54	$97.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.69 / $105.97 / $113.54	Professional		$75.69	$105.97	$113.54
United Facility/Professional Facility Modifier Low / Median / High Price $124.89 / $124.89 / $124.89	Facility		$124.89	$124.89	$124.89
United Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $79.53 / $93.79	Professional		$75.03	$79.53	$93.79