Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.41 / $58.41 / $58.41	Facility		$58.41	$58.41	$58.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.78 / $58.41 / $79.05	Professional		$40.78	$58.41	$79.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.23 / $85.23 / $85.23	Professional		$85.23	$85.23	$85.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.15 / $228.65 / $977.70	Facility		$135.15	$228.65	$977.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.37 / $86.37 / $86.37	Professional		$59.37	$86.37	$86.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.02 / $71.02 / $93.75	Facility		$71.02	$71.02	$93.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.84 / $71.02 / $131.63	Professional		$51.84	$71.02	$131.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $90.91 / $117.40 / $150.00	Professional		$90.91	$117.40	$150.00
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 $147.72 / $147.72 / $147.72	Professional		$147.72	$147.72	$147.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.95 / $85.65 / $89.93	Professional		$59.95	$85.65	$89.93
United Facility/Professional Professional Modifier Low / Median / High Price $35.61 / $54.92 / $94.49	Professional		$35.61	$54.92	$94.49