Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.59 / $72.00 / $103.80	Facility		$60.59	$72.00	$103.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.08 / $63.25 / $93.91	Professional		$50.08	$63.25	$93.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.42 / $88.42 / $111.69	Professional		$88.42	$88.42	$111.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.51 / $239.41 / $1,014.33	Facility		$141.51	$239.41	$1,014.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.98 / $89.60 / $89.60	Professional		$75.98	$89.60	$89.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.81 / $65.81 / $383.66	Facility		$65.81	$65.81	$383.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.04 / $65.81 / $136.50	Professional		$48.04	$65.81	$136.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $106.11 / $135.91 / $176.84	Professional		$106.11	$135.91	$176.84
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 $153.26 / $153.26 / $153.26	Professional		$153.26	$153.26	$153.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.20 / $88.86 / $93.30	Professional		$62.20	$88.86	$93.30
United Facility/Professional Facility Modifier Low / Median / High Price $117.89 / $168.53 / $313.18	Facility		$117.89	$168.53	$313.18
United Facility/Professional Professional Modifier Low / Median / High Price $43.79 / $58.54 / $98.48	Professional		$43.79	$58.54	$98.48