Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.30 / $109.01 / $252.75	Facility		$51.30	$109.01	$252.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.35 / $93.16 / $261.25	Professional		$54.35	$93.16	$261.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.73 / $99.00 / $135.00	Professional		$75.73	$99.00	$135.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $178.98 / $256.27 / $256.27	Facility		$178.98	$256.27	$256.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $100.10 / $139.49	Professional		$73.20	$100.10	$139.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $88.85 / $97.91	Facility		$88.85	$88.85	$97.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.05 / $101.78 / $160.15	Professional		$65.05	$101.78	$160.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.56 / $128.47 / $221.77	Professional		$77.56	$128.47	$221.77
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 $80.31 / $82.38 / $128.47	Professional		$80.31	$82.38	$128.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.28 / $32.15 / $145.28	Professional		$31.28	$32.15	$145.28
United Facility/Professional Professional Modifier Low / Median / High Price $83.22 / $112.34 / $185.83	Professional		$83.22	$112.34	$185.83