Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.13 / $185.60 / $234.31	Facility		$86.13	$185.60	$234.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.46 / $163.22 / $330.40	Professional		$98.46	$163.22	$330.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.41 / $152.00 / $241.50	Professional		$136.41	$152.00	$241.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $293.58 / $436.76 / $436.76	Facility		$293.58	$436.76	$436.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.41 / $164.55 / $213.58	Professional		$126.41	$164.55	$213.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.08 / $152.08 / $158.36	Facility		$152.08	$152.08	$158.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.71 / $171.94 / $249.57	Professional		$110.71	$171.94	$249.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $129.15 / $201.48 / $348.07	Professional		$129.15	$201.48	$348.07
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 $136.68 / $141.58 / $197.86	Professional		$136.68	$141.58	$197.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.61 / $66.40 / $223.73	Professional		$64.61	$66.40	$223.73
United Facility/Professional Professional Modifier Low / Median / High Price $135.75 / $172.29 / $285.16	Professional		$135.75	$172.29	$285.16