Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.92 / $54.48 / $79.52	Facility		$38.92	$54.48	$79.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.06 / $40.33 / $64.91	Professional		$33.06	$40.33	$64.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.17 / $74.28 / $74.28	Professional		$50.17	$74.28	$74.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.59 / $283.14 / $656.05	Facility		$143.59	$283.14	$656.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.21 / $48.05 / $48.05	Professional		$40.21	$48.05	$48.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $67.20 / $115.51	Facility		$67.20	$67.20	$115.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.06 / $59.59 / $84.75	Professional		$49.06	$59.59	$84.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $63.23 / $98.18 / $142.16	Professional		$63.23	$98.18	$142.16
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 $82.20 / $82.20 / $82.20	Professional		$82.20	$82.20	$82.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.27 / $67.54 / $70.91	Professional		$47.27	$67.54	$70.91
United Facility/Professional Facility Modifier Low / Median / High Price $63.23 / $149.47 / $277.77	Facility		$63.23	$149.47	$277.77
United Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $51.83 / $91.77	Professional		$43.19	$51.83	$91.77