Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $120.23 / $234.42	Facility		$66.07	$120.23	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $125.89 / $295.12	Professional		$67.61	$125.89	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $102.33 / $144.54	Professional		$85.11	$102.33	$144.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $295.12 / $338.84	Facility		$199.53	$295.12	$338.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $107.15 / $138.04	Professional		$79.43	$107.15	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $114.82 / $158.49	Facility		$109.65	$114.82	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $109.65 / $190.55	Professional		$70.79	$109.65	$190.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $134.90 / $263.03	Professional		$79.43	$134.90	$263.03
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 $87.10 / $91.20 / $138.04	Professional		$87.10	$91.20	$138.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $32.36 / $158.49	Professional		$31.62	$32.36	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $102.33	Facility		$70.79	$70.79	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $100.00 / $154.88	Professional		$69.18	$100.00	$154.88