Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $338.84	Facility		$50.12	$50.12	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $51.29 / $87.10	Professional		$40.74	$51.29	$87.10
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 $117.49 / $190.55 / $676.08	Facility		$117.49	$190.55	$676.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $74.13 / $74.13	Professional		$63.10	$74.13	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $109.65	Facility		$66.07	$66.07	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $107.15	Professional		$48.98	$48.98	$107.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $114.82 / $141.25	Professional		$91.20	$114.82	$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 $51.29 / $51.29 / $74.13	Professional		$51.29	$51.29	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $77.62 / $144.54	Facility		$37.15	$77.62	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $48.98 / $75.86	Professional		$36.31	$48.98	$75.86