Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.16 / $180.44 / $640.20	Facility		$84.16	$180.44	$640.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.05 / $96.12 / $267.24	Professional		$76.05	$96.12	$267.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.90 / $96.26 / $131.75	Professional		$80.90	$96.26	$131.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $230.40 / $409.63 / $919.63	Facility		$230.40	$409.63	$919.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.32 / $107.26 / $195.05	Professional		$57.32	$107.26	$195.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.44 / $91.44 / $116.44	Facility		$91.44	$91.44	$116.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.95 / $120.63 / $192.41	Professional		$78.95	$120.63	$192.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.21 / $139.38 / $506.38	Professional		$95.21	$139.38	$506.38
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 $103.55 / $105.21 / $112.01	Professional		$103.55	$105.21	$112.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $50.19 / $126.66	Professional		$32.34	$50.19	$126.66
United Facility/Professional Professional Modifier Low / Median / High Price $88.70 / $112.16 / $172.34	Professional		$88.70	$112.16	$172.34