Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.40 / $54.40 / $105.84	Facility		$54.40	$54.40	$105.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.19 / $55.41 / $84.67	Professional		$48.19	$55.41	$84.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.38 / $79.38 / $79.38	Professional		$79.38	$79.38	$79.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.20 / $215.20 / $910.67	Facility		$127.20	$215.20	$910.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.53 / $80.44 / $80.44	Professional		$62.53	$80.44	$80.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.45 / $68.45 / $116.42	Facility		$68.45	$68.45	$116.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.98 / $68.45 / $122.63	Professional		$49.98	$68.45	$122.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.55 / $131.24 / $160.34	Professional		$100.55	$131.24	$160.34
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 $137.59 / $137.59 / $137.59	Professional		$137.59	$137.59	$137.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.84 / $79.78 / $83.76	Professional		$55.84	$79.78	$83.76
United Facility/Professional Facility Modifier Low / Median / High Price $105.84 / $169.34 / $314.70	Facility		$105.84	$169.34	$314.70
United Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $52.80 / $93.50	Professional		$44.00	$52.80	$93.50