Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.99 / $53.99 / $1,140.05	Facility		$53.99	$53.99	$1,140.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.19 / $53.99 / $84.03	Professional		$42.19	$53.99	$84.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.78 / $78.78 / $78.78	Professional		$78.78	$78.78	$78.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.61 / $212.51 / $903.74	Facility		$125.61	$212.51	$903.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.70 / $79.83 / $79.83	Professional		$67.70	$79.83	$79.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.95 / $67.95 / $114.97	Facility		$67.95	$67.95	$114.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.61 / $67.95 / $121.88	Professional		$49.61	$67.95	$121.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $88.88 / $113.17 / $147.06	Professional		$88.88	$113.17	$147.06
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 $136.55 / $136.55 / $136.55	Professional		$136.55	$136.55	$136.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.42 / $79.18 / $83.13	Professional		$55.42	$79.18	$83.13
United Facility/Professional Professional Modifier Low / Median / High Price $39.01 / $52.41 / $89.97	Professional		$39.01	$52.41	$89.97