Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.44 / $81.40 / $162.80	Facility		$54.44	$81.40	$162.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.66 / $60.04 / $92.29	Professional		$43.66	$60.04	$92.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.44 / $79.44 / $93.20	Professional		$79.44	$79.44	$93.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.81 / $510.02 / $1,112.43	Facility		$139.81	$510.02	$1,112.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.34 / $80.50 / $80.50	Professional		$70.34	$80.50	$80.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.32 / $61.21 / $107.70	Facility		$60.32	$61.21	$107.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.68 / $60.32 / $122.63	Professional		$44.68	$60.32	$122.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $92.20 / $116.51 / $164.10	Professional		$92.20	$116.51	$164.10
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 $137.69 / $137.69 / $137.69	Professional		$137.69	$137.69	$137.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.25 / $26.08 / $27.38	Professional		$18.25	$26.08	$27.38
United Facility/Professional Facility Modifier Low / Median / High Price $105.92 / $153.43 / $285.13	Facility		$105.92	$153.43	$285.13
United Facility/Professional Professional Modifier Low / Median / High Price $37.53 / $52.37 / $90.71	Professional		$37.53	$52.37	$90.71