Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $691.83	Facility		$50.12	$50.12	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $51.29 / $100.00	Professional		$43.65	$51.29	$100.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $74.13 / $91.20	Professional		$69.18	$74.13	$91.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $186.21 / $676.08	Facility		$117.49	$186.21	$676.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $74.13 / $74.13	Professional		$58.88	$74.13	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $66.07	Facility		$63.10	$63.10	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $104.71	Professional		$45.71	$45.71	$104.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $114.82 / $144.54	Professional		$83.18	$114.82	$144.54
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 $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $74.13	Professional		$51.29	$51.29	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $77.62 / $151.36	Facility		$38.90	$77.62	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $48.98 / $79.43	Professional		$37.15	$48.98	$79.43