Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.41 / $181.23 / $462.62	Facility		$102.41	$181.23	$462.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.39 / $102.41 / $192.11	Professional		$93.39	$102.41	$192.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.10 / $111.69 / $111.69	Professional		$94.10	$111.69	$111.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $227.20 / $530.20 / $2,229.08	Facility		$227.20	$530.20	$2,229.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.77 / $168.05 / $255.72	Professional		$139.77	$168.05	$255.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $219.21 / $219.21 / $219.21	Facility		$219.21	$219.21	$219.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.10 / $150.78 / $231.54	Professional		$102.10	$150.78	$231.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $178.70 / $674.56	Professional		$120.00	$178.70	$674.56
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 $132.18 / $135.76 / $145.19	Professional		$132.18	$135.76	$145.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $164.18	Professional		$32.34	$32.34	$164.18
United Facility/Professional Professional Modifier Low / Median / High Price $110.69 / $141.28 / $207.20	Professional		$110.69	$141.28	$207.20