Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $141.25 / $426.58	Facility		$75.86	$141.25	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $97.72 / $223.87	Professional		$81.28	$97.72	$223.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $89.13 / $107.15	Professional		$37.15	$89.13	$107.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $125.89 / $234.42	Professional		$77.62	$125.89	$234.42
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 $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $102.33	Professional		$57.54	$57.54	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $138.04 / $138.04	Facility		$93.33	$138.04	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $102.33 / $102.33	Professional		$87.10	$102.33	$102.33