Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.90 / $125.67 / $179.18	Facility		$76.90	$125.67	$179.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.08 / $124.00 / $233.88	Professional		$81.08	$124.00	$233.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.58 / $237.30 / $237.30	Professional		$91.58	$237.30	$237.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $225.40 / $468.23 / $1,660.52	Facility		$225.40	$468.23	$1,660.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.78 / $136.93 / $202.86	Professional		$98.78	$136.93	$202.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $106.50 / $147.68 / $365.57	Professional		$106.50	$147.68	$365.57
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 $119.72 / $123.86 / $131.86	Professional		$119.72	$123.86	$131.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.20 / $46.45 / $137.94	Professional		$45.20	$46.45	$137.94
United Facility/Professional Professional Modifier Low / Median / High Price $100.87 / $134.66 / $222.76	Professional		$100.87	$134.66	$222.76