Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.70 / $135.44 / $183.64	Facility		$74.70	$135.44	$183.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.19 / $108.08 / $216.60	Professional		$69.19	$108.08	$216.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.60 / $120.47 / $146.29	Professional		$101.60	$120.47	$146.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $230.79 / $318.58 / $325.13	Facility		$230.79	$318.58	$325.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.78 / $121.91 / $168.72	Professional		$91.78	$121.91	$168.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.81 / $110.81 / $124.80	Facility		$110.81	$110.81	$124.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.26 / $126.75 / $196.84	Professional		$81.26	$126.75	$196.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $96.97 / $156.61 / $271.70	Professional		$96.97	$156.61	$271.70
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 $99.84 / $102.99 / $156.61	Professional		$99.84	$102.99	$156.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.28 / $32.15 / $177.09	Professional		$31.28	$32.15	$177.09
United Facility/Professional Professional Modifier Low / Median / High Price $106.35 / $139.47 / $226.61	Professional		$106.35	$139.47	$226.61