Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.40 / $159.16 / $207.89	Facility		$74.40	$159.16	$207.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.36 / $121.80 / $240.74	Professional		$79.36	$121.80	$240.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $121.88 / $135.84 / $185.63	Professional		$121.88	$135.84	$185.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.20 / $374.54 / $374.54	Facility		$251.20	$374.54	$374.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.92 / $142.71 / $191.63	Professional		$108.92	$142.71	$191.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.94 / $130.94 / $136.10	Facility		$130.94	$130.94	$136.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.02 / $149.21 / $221.02	Professional		$95.02	$149.21	$221.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $112.57 / $176.59 / $298.64	Professional		$112.57	$176.59	$298.64
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 $117.70 / $121.95 / $176.59	Professional		$117.70	$121.95	$176.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.28 / $32.15 / $199.68	Professional		$31.28	$32.15	$199.68
United Facility/Professional Professional Modifier Low / Median / High Price $118.33 / $153.63 / $254.41	Professional		$118.33	$153.63	$254.41