Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.51 / $119.51 / $168.73	Facility		$84.51	$119.51	$168.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.24 / $103.72 / $255.73	Professional		$61.24	$103.72	$255.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.93 / $110.00 / $149.19	Professional		$93.93	$110.00	$149.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $215.09 / $291.77 / $303.01	Facility		$215.09	$291.77	$303.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.34 / $111.62 / $154.47	Professional		$80.34	$111.62	$154.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.37 / $97.37 / $115.89	Facility		$97.37	$97.37	$115.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.29 / $114.82 / $181.26	Professional		$71.29	$114.82	$181.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $86.21 / $143.66 / $256.85	Professional		$86.21	$143.66	$256.85
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 $87.93 / $90.35 / $143.44	Professional		$87.93	$90.35	$143.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.28 / $32.15 / $162.19	Professional		$31.28	$32.15	$162.19
United Facility/Professional Professional Modifier Low / Median / High Price $98.23 / $125.15 / $205.59	Professional		$98.23	$125.15	$205.59