Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $131.83 / $194.98	Facility		$74.13	$131.83	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $128.82 / $295.12	Professional		$74.13	$128.82	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $117.49 / $190.55	Professional		$100.00	$117.49	$190.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $316.23 / $398.11	Facility		$229.09	$316.23	$398.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $120.23 / $151.36	Professional		$91.20	$120.23	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $131.83 / $186.21	Facility		$125.89	$131.83	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $125.89 / $213.80	Professional		$81.28	$125.89	$213.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $154.88 / $295.12	Professional		$91.20	$154.88	$295.12
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 $100.00 / $102.33 / $154.88	Professional		$100.00	$102.33	$154.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $181.97	Professional		$32.36	$32.36	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $114.82	Facility		$79.43	$79.43	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $177.83	Professional		$79.43	$114.82	$177.83