Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $93.33	Facility		$46.77	$46.77	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $48.98 / $239.88	Professional		$39.81	$48.98	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $512.86 / $954.99	Facility		$125.89	$512.86	$954.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $69.18 / $69.18	Professional		$54.95	$69.18	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $102.33	Facility		$61.66	$61.66	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $107.15	Professional		$44.67	$44.67	$107.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $199.53 / $346.74	Professional		$91.20	$199.53	$346.74
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 $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
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 $34.67 / $74.13 / $134.90	Facility		$34.67	$74.13	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $45.71 / $70.79	Professional		$33.88	$45.71	$70.79