Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.23 / $148.72 / $187.18	Facility		$87.23	$148.72	$187.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $104.36 / $174.46	Professional		$69.20	$104.36	$174.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.44 / $226.80 / $226.80	Professional		$144.44	$226.80	$226.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $241.78 / $262.63 / $340.61	Facility		$241.78	$262.63	$340.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.95 / $117.95 / $150.19	Facility		$117.95	$117.95	$150.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.47 / $134.94 / $193.97	Professional		$93.47	$134.94	$193.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $103.46 / $153.58 / $404.99	Professional		$103.46	$153.58	$404.99
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 $105.94 / $109.89 / $149.21	Professional		$105.94	$109.89	$149.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.91 / $51.30 / $168.73	Professional		$49.91	$51.30	$168.73
United Facility/Professional Professional Modifier Low / Median / High Price $112.18 / $147.15 / $231.91	Professional		$112.18	$147.15	$231.91