Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $79.43 / $147.91	Facility		$51.29	$79.43	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $83.18 / $190.55	Professional		$57.54	$83.18	$190.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $81.28 / $104.71	Professional		$64.57	$81.28	$104.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $263.03 / $1,047.13	Facility		$128.82	$263.03	$1,047.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $91.20	Professional		$89.13	$89.13	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $102.33 / $151.36	Professional		$70.79	$102.33	$151.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $131.83 / $269.15	Professional		$83.18	$131.83	$269.15
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 $91.20 / $97.72 / $107.15	Professional		$91.20	$97.72	$107.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $85.11 / $134.90	Professional		$66.07	$85.11	$134.90