Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.40 / $98.19 / $472.15	Facility		$51.40	$98.19	$472.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.73 / $106.85 / $165.75	Professional		$76.73	$106.85	$165.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $143.28 / $210.00 / $210.00	Professional		$143.28	$210.00	$210.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $252.17 / $919.86 / $2,006.34	Facility		$252.17	$919.86	$2,006.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.86 / $145.19 / $145.19	Professional		$126.86	$145.19	$145.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.47 / $120.81 / $209.12	Facility		$118.47	$120.81	$209.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.19 / $118.47 / $221.63	Professional		$88.19	$118.47	$221.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $171.94 / $200.59 / $282.39	Professional		$171.94	$200.59	$282.39
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 $248.35 / $248.35 / $248.35	Professional		$248.35	$248.35	$248.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.72 / $116.75 / $122.58	Professional		$81.72	$116.75	$122.58
United Facility/Professional Professional Modifier Low / Median / High Price $70.95 / $95.30 / $164.47	Professional		$70.95	$95.30	$164.47