Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.92 / $172.39 / $408.79	Facility		$101.92	$172.39	$408.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.28 / $101.92 / $219.86	Professional		$89.28	$101.92	$219.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.16 / $135.30 / $135.30	Professional		$130.16	$135.30	$135.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $219.20 / $609.59 / $2,674.84	Facility		$219.20	$609.59	$2,674.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.10 / $218.41 / $255.51	Professional		$141.10	$218.41	$255.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $198.88 / $198.88 / $198.88	Facility		$198.88	$198.88	$198.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.33 / $144.32 / $215.35	Professional		$95.33	$144.32	$215.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $172.51 / $596.52	Professional		$120.00	$172.51	$596.52
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 $131.05 / $135.63 / $146.58	Professional		$131.05	$135.63	$146.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $165.74	Professional		$32.34	$32.34	$165.74
United Facility/Professional Professional Modifier Low / Median / High Price $100.59 / $129.15 / $220.94	Professional		$100.59	$129.15	$220.94