Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $99.77 / $162.58	Facility		$76.09	$99.77	$162.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.40 / $117.24 / $279.00	Professional		$78.40	$117.24	$279.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.04 / $138.82 / $162.96	Professional		$107.04	$138.82	$162.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $180.32 / $442.64 / $1,557.61	Facility		$180.32	$442.64	$1,557.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.63 / $128.99 / $135.72	Professional		$128.63	$128.99	$135.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.19 / $144.25 / $218.57	Professional		$94.19	$144.25	$218.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $114.49 / $172.32 / $346.01	Professional		$114.49	$172.32	$346.01
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 $133.38 / $141.52 / $156.91	Professional		$133.38	$141.52	$156.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $164.17	Professional		$32.34	$32.34	$164.17
United Facility/Professional Professional Modifier Low / Median / High Price $86.75 / $121.55 / $194.78	Professional		$86.75	$121.55	$194.78