Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.29 / $193.29 / $193.29	Facility		$193.29	$193.29	$193.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.99 / $127.29 / $187.56	Professional		$111.99	$127.29	$187.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.31 / $113.20 / $121.18	Professional		$107.31	$113.20	$121.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $344.67 / $412.20 / $703.01	Facility		$344.67	$412.20	$703.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.06 / $136.97 / $181.94	Professional		$134.06	$136.97	$181.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.44 / $185.00 / $300.00	Facility		$139.44	$185.00	$300.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.30 / $164.61 / $258.27	Professional		$116.30	$164.61	$258.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $128.52 / $184.61 / $569.21	Professional		$128.52	$184.61	$569.21
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 $146.16 / $151.88 / $161.58	Professional		$146.16	$151.88	$161.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $182.71	Professional		$32.34	$32.34	$182.71
United Facility/Professional Professional Modifier Low / Median / High Price $113.58 / $144.60 / $248.65	Professional		$113.58	$144.60	$248.65