Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $51.29 / $338.84	Facility		$50.12	$51.29	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $52.48 / $100.00	Professional		$44.67	$52.48	$100.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $67.61 / $83.18	Professional		$46.77	$67.61	$83.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $190.55 / $676.08	Facility		$117.49	$190.55	$676.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $75.86 / $75.86	Professional		$64.57	$75.86	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $63.10 / $66.07	Facility		$56.23	$63.10	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $107.15	Professional		$45.71	$45.71	$107.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $109.65 / $141.25	Professional		$83.18	$109.65	$141.25
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 $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $74.13	Professional		$52.48	$52.48	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $79.43 / $154.88	Facility		$40.74	$79.43	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $48.98 / $81.28	Professional		$38.02	$48.98	$81.28