Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $117.49 / $239.88	Facility		$83.18	$117.49	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $323.59	Professional		$87.10	$114.82	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $85.11 / $125.89	Professional		$33.11	$85.11	$125.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $331.13 / $1,230.27	Facility		$125.89	$331.13	$1,230.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $61.66 / $181.97	Professional		$36.31	$61.66	$181.97
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 $43.65 / $43.65 / $47.86	Professional		$43.65	$43.65	$47.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $97.72	Professional		$30.20	$30.20	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $186.21 / $186.21	Facility		$138.04	$186.21	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $114.82 / $117.49	Professional		$95.50	$114.82	$117.49