Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.29 / $64.00 / $92.06	Facility		$44.29	$64.00	$92.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $42.09 / $110.28	Professional		$25.50	$42.09	$110.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.27 / $60.29 / $80.39	Professional		$40.27	$60.29	$80.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.20 / $161.40 / $691.72	Facility		$94.20	$161.40	$691.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $61.10 / $61.10	Professional		$38.86	$61.10	$61.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.70 / $45.70 / $73.81	Facility		$45.70	$45.70	$73.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $33.36 / $103.65	Professional		$33.36	$33.36	$103.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $69.06 / $84.96 / $120.00	Professional		$69.06	$84.96	$120.00
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 $104.51 / $104.51 / $104.51	Professional		$104.51	$104.51	$104.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.28 / $26.12 / $27.42	Professional		$18.28	$26.12	$27.42
United Facility/Professional Professional Modifier Low / Median / High Price $27.46 / $38.44 / $68.86	Professional		$27.46	$38.44	$68.86