Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $457.09	Facility		$45.71	$45.71	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $67.61 / $125.89	Professional		$43.65	$67.61	$125.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $79.43 / $141.25	Professional		$63.10	$79.43	$141.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $213.80 / $645.65	Facility		$134.90	$213.80	$645.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $57.54 / $57.54	Professional		$50.12	$57.54	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $109.65	Facility		$85.11	$85.11	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $89.13	Professional		$61.66	$61.66	$89.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $117.49 / $199.53	Professional		$75.86	$117.49	$199.53
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 $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $34.67	Professional		$23.99	$23.99	$34.67
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $61.66 / $151.36	Facility		$47.86	$61.66	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $61.66 / $95.50	Professional		$41.69	$61.66	$95.50