Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $158.49 / $173.78	Facility		$77.62	$158.49	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $93.33 / $223.87	Professional		$67.61	$93.33	$223.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $107.15 / $109.65	Professional		$75.86	$107.15	$109.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $794.33 / $3,090.30	Facility		$389.05	$794.33	$3,090.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $190.55 / $239.88	Professional		$100.00	$190.55	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $128.82 / $204.17	Professional		$87.10	$128.82	$204.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $141.25 / $354.81	Professional		$89.13	$141.25	$354.81
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 $107.15 / $109.65 / $117.49	Professional		$107.15	$109.65	$117.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $125.89 / $199.53	Professional		$93.33	$125.89	$199.53