Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.00 / $91.36 / $338.67	Facility		$52.00	$91.36	$338.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.14 / $64.06 / $124.66	Professional		$40.14	$64.06	$124.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.50 / $93.50 / $158.19	Professional		$93.50	$93.50	$158.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.46 / $252.86 / $1,072.56	Facility		$149.46	$252.86	$1,072.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.70 / $94.74 / $94.74	Professional		$76.70	$94.74	$94.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.70 / $86.64 / $182.83	Facility		$83.70	$86.64	$182.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.25 / $86.64 / $144.38	Professional		$63.25	$86.64	$144.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $112.78 / $175.61 / $224.44	Professional		$112.78	$175.61	$224.44
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 $162.06 / $162.06 / $162.06	Professional		$162.06	$162.06	$162.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.45 / $26.37 / $27.68	Professional		$18.45	$26.37	$27.68
United Facility/Professional Professional Modifier Low / Median / High Price $48.70 / $62.19 / $107.08	Professional		$48.70	$62.19	$107.08