Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.26 / $254.73 / $723.93	Facility		$135.26	$254.73	$723.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.12 / $115.18 / $395.25	Professional		$89.12	$115.18	$395.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $127.46 / $138.93	Professional		$80.00	$127.46	$138.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.78 / $460.00 / $1,592.01	Facility		$147.78	$460.00	$1,592.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.61 / $143.50 / $298.51	Professional		$44.61	$143.50	$298.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.48 / $253.80 / $446.64	Facility		$171.48	$253.80	$446.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.95 / $182.12 / $268.27	Professional		$105.95	$182.12	$268.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $135.24 / $202.35 / $471.27	Professional		$135.24	$202.35	$471.27
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 $158.47 / $161.94 / $175.37	Professional		$158.47	$161.94	$175.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $48.48 / $171.77	Professional		$32.34	$48.48	$171.77
United Facility/Professional Facility Modifier Low / Median / High Price $99.68 / $99.68 / $104.26	Facility		$99.68	$99.68	$104.26
United Facility/Professional Professional Modifier Low / Median / High Price $128.74 / $163.84 / $256.63	Professional		$128.74	$163.84	$256.63