Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $54.95 / $181.97	Facility		$53.70	$54.95	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $56.23 / $107.15	Professional		$48.98	$56.23	$107.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $204.17 / $724.44	Facility		$128.82	$204.17	$724.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $81.28 / $81.28	Professional		$63.10	$81.28	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $70.79	Facility		$69.18	$69.18	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $117.49	Professional		$50.12	$50.12	$117.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $128.82 / $162.18	Professional		$89.13	$128.82	$162.18
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 $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $79.43	Professional		$56.23	$56.23	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $85.11 / $173.78	Facility		$44.67	$85.11	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $52.48 / $87.10	Professional		$41.69	$52.48	$87.10