Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.70 / $119.51 / $233.36	Facility		$65.70	$119.51	$233.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.24 / $104.94 / $258.35	Professional		$61.24	$104.94	$258.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.58 / $105.43 / $138.03	Professional		$93.58	$105.43	$138.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $197.82 / $291.77 / $291.77	Facility		$197.82	$291.77	$291.77
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 / $108.42	Facility		$97.37	$97.37	$108.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $111.20 / $173.10	Professional		$71.55	$111.20	$173.10
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 $31.28 / $32.15 / $154.88	Professional		$31.28	$32.15	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $90.25 / $117.93 / $196.56	Professional		$90.25	$117.93	$196.56