Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.75 / $65.91 / $141.44	Facility		$38.75	$65.91	$141.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.37 / $54.02 / $90.00	Professional		$45.37	$54.02	$90.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.95 / $67.45 / $81.86	Professional		$56.95	$67.45	$81.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.12 / $182.92 / $773.78	Facility		$108.12	$182.92	$773.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.72 / $68.34 / $68.34	Professional		$59.72	$68.34	$68.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.94 / $58.00 / $104.40	Facility		$56.94	$58.00	$104.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $58.00 / $104.25	Professional		$42.34	$58.00	$104.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $83.63 / $100.00 / $148.60	Professional		$83.63	$100.00	$148.60
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 $116.91 / $116.91 / $116.91	Professional		$116.91	$116.91	$116.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.52 / $36.47 / $38.29	Professional		$25.52	$36.47	$38.29
United Facility/Professional Professional Modifier Low / Median / High Price $35.13 / $44.87 / $79.45	Professional		$35.13	$44.87	$79.45