Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.93 / $104.96 / $175.28	Facility		$103.93	$104.96	$175.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.19 / $103.93 / $140.81	Professional		$88.19	$103.93	$140.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.10 / $146.72 / $150.44	Professional		$110.10	$146.72	$150.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $527.85 / $1,150.64 / $2,061.08	Facility		$527.85	$1,150.64	$2,061.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.53 / $166.48 / $182.13	Professional		$120.53	$166.48	$182.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.13 / $171.13 / $171.13	Facility		$171.13	$171.13	$171.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.41 / $150.94 / $223.55	Professional		$106.41	$150.94	$223.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $107.96 / $157.08 / $406.47	Professional		$107.96	$157.08	$406.47
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 $126.57 / $131.74 / $143.43	Professional		$126.57	$131.74	$143.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $162.19	Professional		$32.34	$32.34	$162.19
United Facility/Professional Professional Modifier Low / Median / High Price $97.02 / $144.86 / $227.25	Professional		$97.02	$144.86	$227.25