Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.61 / $115.71 / $173.96	Facility		$78.61	$115.71	$173.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.16 / $96.37 / $186.31	Professional		$66.16	$96.37	$186.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.77 / $92.84 / $107.95	Professional		$84.77	$92.84	$107.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $379.20 / $870.41 / $3,170.96	Facility		$379.20	$870.41	$3,170.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.86 / $189.67 / $237.15	Professional		$99.86	$189.67	$237.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.76 / $127.80 / $197.98	Professional		$88.76	$127.80	$197.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $127.79 / $336.19	Professional		$90.00	$127.79	$336.19
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 / $118.66	Professional		$105.94	$109.89	$118.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $134.18	Professional		$32.34	$32.34	$134.18
United Facility/Professional Professional Modifier Low / Median / High Price $92.58 / $125.05 / $208.26	Professional		$92.58	$125.05	$208.26