Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.50 / $119.51 / $202.29	Facility		$58.50	$119.51	$202.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.24 / $97.79 / $273.60	Professional		$61.24	$97.79	$273.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.83 / $105.37 / $142.33	Professional		$94.83	$105.37	$142.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.39 / $288.89 / $288.89	Facility		$199.39	$288.89	$288.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.34 / $107.56 / $151.38	Professional		$80.34	$107.56	$151.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.37 / $97.37 / $108.84	Facility		$97.37	$97.37	$108.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.29 / $111.43 / $173.65	Professional		$71.29	$111.43	$173.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $84.30 / $137.06 / $236.30	Professional		$84.30	$137.06	$236.30
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 $87.93 / $90.35 / $136.97	Professional		$87.93	$90.35	$136.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $32.15 / $154.88	Professional		$30.00	$32.15	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $90.57 / $119.49 / $197.25	Professional		$90.57	$119.49	$197.25