Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.97 / $106.31 / $136.57	Facility		$48.97	$106.31	$136.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.43 / $69.95 / $138.34	Professional		$43.43	$69.95	$138.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.44 / $179.90 / $179.90	Professional		$76.44	$179.90	$179.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.58 / $166.58 / $247.72	Facility		$166.58	$166.58	$247.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.68 / $73.68 / $110.44	Facility		$73.68	$73.68	$110.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.16 / $91.88 / $136.54	Professional		$62.16	$91.88	$136.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $67.94 / $101.59 / $305.13	Professional		$67.94	$101.59	$305.13
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 $66.77 / $68.45 / $98.14	Professional		$66.77	$68.45	$98.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.11 / $40.20 / $110.97	Professional		$39.11	$40.20	$110.97
United Facility/Professional Professional Modifier Low / Median / High Price $77.15 / $105.27 / $169.53	Professional		$77.15	$105.27	$169.53