Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.30 / $97.74 / $233.61	Facility		$73.30	$97.74	$233.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.31 / $111.33 / $255.36	Professional		$75.31	$111.33	$255.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.16 / $134.79 / $162.76	Professional		$105.16	$134.79	$162.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $183.00 / $453.26 / $1,572.56	Facility		$183.00	$453.26	$1,572.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.94 / $124.91 / $129.00	Professional		$116.94	$124.91	$129.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.44 / $146.51 / $212.14	Professional		$102.44	$146.51	$212.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $114.91 / $167.44 / $416.09	Professional		$114.91	$167.44	$416.09
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 $137.31 / $142.27 / $152.37	Professional		$137.31	$142.27	$152.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $159.41	Professional		$32.34	$32.34	$159.41
United Facility/Professional Professional Modifier Low / Median / High Price $91.85 / $120.22 / $197.63	Professional		$91.85	$120.22	$197.63