Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.35 / $73.80 / $116.44	Facility		$55.35	$73.80	$116.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $94.40 / $170.50	Professional		$55.57	$94.40	$170.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.60 / $194.60 / $194.60	Professional		$194.60	$194.60	$194.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.72 / $321.33 / $1,176.85	Facility		$149.72	$321.33	$1,176.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.02 / $96.24 / $133.31	Professional		$70.02	$96.24	$133.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $75.29 / $105.51 / $303.39	Professional		$75.29	$105.51	$303.39
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 $85.11 / $87.66 / $92.68	Professional		$85.11	$87.66	$92.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.95 / $34.68 / $96.95	Professional		$33.95	$34.68	$96.95
United Facility/Professional Professional Modifier Low / Median / High Price $68.84 / $89.34 / $142.53	Professional		$68.84	$89.34	$142.53