Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $107.15 / $199.53	Facility		$77.62	$107.15	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $131.83 / $316.23	Professional		$81.28	$131.83	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $102.33 / $239.88	Professional		$81.28	$102.33	$239.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $467.74 / $1,621.81	Facility		$229.09	$467.74	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $138.04 / $204.17	Professional		$97.72	$138.04	$204.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $177.83 / $446.68	Professional		$107.15	$177.83	$446.68
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 $120.23 / $123.03 / $131.83	Professional		$120.23	$123.03	$131.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $46.77 / $131.83	Professional		$45.71	$46.77	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $158.49	Facility		$95.50	$95.50	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $134.90 / $208.93	Professional		$100.00	$134.90	$208.93