Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.28 / $50.28 / $350.22	Facility		$50.28	$50.28	$350.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.55 / $53.08 / $77.93	Professional		$44.55	$53.08	$77.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.37 / $73.37 / $73.37	Professional		$73.37	$73.37	$73.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.66 / $199.06 / $841.75	Facility		$117.66	$199.06	$841.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.80 / $74.34 / $74.34	Professional		$57.80	$74.34	$74.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.68 / $72.18 / $107.61	Facility		$65.68	$72.18	$107.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.69 / $72.18 / $113.25	Professional		$52.69	$72.18	$113.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $97.83 / $116.37 / $156.65	Professional		$97.83	$116.37	$156.65
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 $127.18 / $127.18 / $127.18	Professional		$127.18	$127.18	$127.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.61 / $56.45 / $77.42	Professional		$51.61	$56.45	$77.42
United Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $48.81 / $84.04	Professional		$38.22	$48.81	$84.04