Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.00 / $283.98 / $335.20	Facility		$132.00	$283.98	$335.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.75 / $157.34 / $194.79	Professional		$76.75	$157.34	$194.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.10 / $92.10 / $92.10	Professional		$92.10	$92.10	$92.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.73 / $263.02 / $1,472.75	Facility		$115.73	$263.02	$1,472.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $105.92 / $118.20	Professional		$3.50	$105.92	$118.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.55 / $367.19 / $707.31	Facility		$80.55	$367.19	$707.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $176.76 / $220.96	Professional		$128.82	$176.76	$220.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $153.50 / $237.93 / $634.14	Professional		$153.50	$237.93	$634.14
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 $199.55 / $199.55 / $199.55	Professional		$199.55	$199.55	$199.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.75 / $105.30 / $191.88	Professional		$76.75	$105.30	$191.88
United Facility/Professional Professional Modifier Low / Median / High Price $64.47 / $92.10 / $161.33	Professional		$64.47	$92.10	$161.33